Sandra Lyn Toensing , PA-C
Physician Assistant โข Roanoke, VA
3 Riverside Cir
Roanoke, VA 240164955
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Sandra Toensing is listed in NPPES under Physician Assistant.
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NPI assigned on October 19, 2010; this date does not establish years in practice.
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Published CMS data list 391 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 75 service units.
- 92504 โ Exam of ear using a microscope: 68 service units.
- 92567 โ Test to assess middle ear function: 51 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 101 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Fluticasone Propionate โ 43 prescription fills, including refills.
- Omeprazole โ 21 prescription fills, including refills.
- Ipratropium Bromide โ 14 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 5 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 140 clinicians with data). Median for this group: 202. Middle half: 67 to 452.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 214 in 2020 to 391 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
3 Riverside Cir
Roanoke, VA 240164955
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
116 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $24,361 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $12,895 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
163 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,600 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $38.77 across 2 records.
By nature of payment
- Food and Beverage: $38.77 across 2 records.
Reporting-company totals
- Phadia US Inc.: $22.58 across 1 record.
- GlaxoSmithKline, LLC.: $16.19 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
NPI first issued
2010
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Sandra Toensing has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Sandra Toensing as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Roanoke and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 140 clinicians with data). Median for this group: 202. Middle half: 67 to 452.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: 288. Middle half: 107 to 693.
Medicare-allowed amount
A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 140 clinicians with data). Median for this group: $17,702. Middle half: $6,499 to $31,935.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $23,153. Middle half: $9,003 to $44,800.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Roanoke, VA (2024, 140 clinicians with data). Median for this group: $12,849. Middle half: $4,827 to $23,492.
Close to the middle for clinicians listed under Physician Assistant in Virginia (2024, 2,247 clinicians with data). Median for this group: $17,218. Middle half: $6,803 to $32,639.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Roanoke, VA (2024, 127 clinicians with data). Median for this group: 237. Middle half: 69 to 681.
Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: 247. Middle half: 75 to 708.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Roanoke, VA (2024, 127 clinicians with data). Median for this group: $3,519. Middle half: $465 to $62,513.
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Virginia (2024, 2,256 clinicians with data). Median for this group: $3,441. Middle half: $640 to $57,211.
299 active clinicians are listed under Physician Assistant with a practice address in Roanoke, VA (4,411 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Roanoke
13% of these 299 clinicians have the CMS telehealth indicator.
55.5% of these 299 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 83% from 214 in 2020 to 391 in 2024.
- 2020: 214
- 2021: 485
- 2022: 650
- 2023: 1,365
- 2024: 391
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Medicare-allowed amount
Medicare-allowed amount increased 77% from $13,755 in 2020 to $24,361 in 2024.
- 2020: $13,755
- 2021: $41,094
- 2022: $45,420
- 2023: $74,793
- 2024: $24,361
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Paid by Medicare
Paid by Medicare increased 23% from $10,486 in 2020 to $12,895 in 2024.
- 2020: $10,486
- 2021: $31,617
- 2022: $32,074
- 2023: $54,996
- 2024: $12,895
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 237% from 30 in 2020 to 101 in 2024.
- 2020: 30
- 2021: 50
- 2022: 111
- 2023: 276
- 2024: 101
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30-day fills
30-day fills increased 255% from 46 in 2020 to 163 in 2024.
- 2020: 46
- 2021: 78
- 2022: 160
- 2023: 409
- 2024: 163
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Part D drug cost
Part D drug cost went from $390 in 2020 to $1,600 in 2024.
- 2020: $390
- 2021: $936
- 2022: $1,987
- 2023: $6,147
- 2024: $1,600
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $225.07 in 2021 to $38.77 in 2024.
- 2021: $225.07
- 2022: $54.70
- 2023: $169.07
- 2024: $38.77
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $38.77.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Phadia US Inc. |
Food and Beverage
Cash or cash equivalent
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ImmunoCAP | General | $22.58 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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NUCALA | General | $16.19 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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75 | 59 | $160.73 | $105.01 |
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92504
Exam of ear using a microscope
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68 | 51 | $87.00 | $23.74 |
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92567
Test to assess middle ear function
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51 | 44 | $53.00 | $13.37 |
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92557
Comprehensive hearing and speech recognition test
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42 | 39 | $152.00 | $29.83 |
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92588
Placement of ear probe for computerized measurement of repeated sounds with interpretation and report
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38 | 34 | $160.00 | $27.09 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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36 | 33 | $120.50 | $74.58 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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26 | 26 | $274.00 | $136.90 |
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31231
Diagnostic exam of nasal passages using an endoscope
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21 | 17 | $360.00 | $152.43 |
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31575
Diagnostic exam of voice box using a flexible endoscope
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17 | 15 | $353.00 | $102.30 |
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G0268
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing
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17 | 17 | $89.00 | $42.48 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Fluticasone Propionate | Fluticasone Propionate | 43 | 2,252 | $467.97 | 24 |
| Omeprazole | Omeprazole | 21 | 1,050 | $414.12 | โ |
| Ipratropium Bromide | Ipratropium Bromide | 14 | 511 | $301.51 | โ |
| Azelastine Hcl | Azelastine Hcl | 12 | 560 | $374.10 | โ |
| Levocetirizine Dihydrochloride | Levocetirizine Dihydrochloride | 11 | 510 | $42.30 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20110308000957
VA
1355523697
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.), Master of Science, Master of Business Administration
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5402245170)
Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5402245170)
Physician Assistant (license number reported to NPPES: VA 0110003392)
NPI status registered as active in NPPES database
Registered at 830 DAVIS ST, BLACKSBURG, VA 240607010 (Tel: 5404437400)
Registered at 830 DAVIS ST, BLACKSBURG, VA 240607010 (Tel: 5404437400)
Recorded as SANDRA TOENSING, P.A.C
Physician Assistant (license number reported to NPPES: VA 0110003392)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Roanoke
All Physician Assistants in RoanokeMailing Address
3 Riverside Cir
Roanoke, VA 240164955
Phone: 5402245170