Dr. David A Toivonen , MD
Orthopaedic Surgery • Appleton, WI
2323 N Casaloma Dr
Appleton, WI 549138284
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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Dr. David Toivonen is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on April 28, 2006; this date does not establish years in practice.
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Published CMS data list 258 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 97110 — Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility: 54 service units.
- 97140 — Therapy procedure using manual technique: 43 service units.
- 99213 — Established patient outpatient office visit: 37 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 10 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 55 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
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Published Part D records, 2021:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 33 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 22 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 1,163 in 2017 to 258 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
2323 N Casaloma Dr
Appleton, WI 549138284
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
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $13,269 in 2021
The total amount Medicare approved for these services in 2021. 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 – by Provider and Service, 2021.
Paid by Medicare
About $9,502 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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 – by Provider and Service, 2021.
30-day fills
55 standardized 30-day fills in 2021
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
$200 in 2021
The total cost of these prescriptions in 2021, 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 – by Provider and Drug, 2021.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $146.39 in 2019
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2019.
NPI first issued
2006
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, “Does your provider accept Medicare as full payment?”
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.
Compared with the same specialty in Appleton and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Toivonen are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Toivonen are from 2021.
32 active clinicians are listed under Orthopaedic Surgery with a practice address in Appleton, WI (656 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Appleton
3.1% of these 32 clinicians have the CMS telehealth indicator.
78.1% of these 32 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 decreased 78% from 1,163 in 2017 to 258 in 2021.
- 2017: 1,163
- 2018: 1,337
- 2019: 1,370
- 2020: 756
- 2021: 258
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Medicare-allowed amount
Medicare-allowed amount decreased 78% from $60,242 in 2017 to $13,269 in 2021.
- 2017: $60,242
- 2018: $53,293
- 2019: $62,813
- 2020: $30,085
- 2021: $13,269
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Paid by Medicare
Paid by Medicare decreased 79% from $45,181 in 2017 to $9,502 in 2021.
- 2017: $45,181
- 2018: $40,310
- 2019: $46,983
- 2020: $22,577
- 2021: $9,502
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 43% from 97 in 2017 to 55 in 2021.
- 2017: 97
- 2018: 101
- 2019: 99
- 2020: 71
- 2021: 55
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30-day fills
30-day fills decreased 43% from 97 in 2017 to 55 in 2021.
- 2017: 97
- 2018: 101
- 2019: 99
- 2020: 71
- 2021: 55
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Part D drug cost
Part D drug cost went from $607 in 2017 to $200 in 2021.
- 2017: $607
- 2018: $748
- 2019: $616
- 2020: $309
- 2021: $200
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2019 only.
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $146.39.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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Regeneten | General | $146.39 |
Source: CMS Open Payments, program year 2019, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 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 – by Provider and Service data, 2017–2021; 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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97110
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
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54 | 30 | $130.56 | $24.31 |
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97140
Therapy procedure using manual technique, each 15 minutes
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43 | 23 | $100.00 | $20.96 |
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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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37 | 23 | $269.00 | $87.48 |
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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25 | 14 | $22.00 | $6.36 |
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73110
X-ray of wrist, minimum of 3 views
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19 | 11 | $244.00 | $34.61 |
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73140
X-ray of finger, minimum of 2 views
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18 | 12 | $178.00 | $35.64 |
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97112
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
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18 | 12 | $123.00 | $31.08 |
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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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18 | 18 | $491.00 | $160.15 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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13 | 13 | $324.23 | $107.01 |
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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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13 | 13 | $377.23 | $117.45 |
Source: CMS Part B by Provider and Service, 2021; 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 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 33 | 85 | $111.65 | 33 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 22 | 60 | $88.51 | 22 |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Occupational Therapist
Occupational Therapist Registered, L, Doctor of Occupational Therapy
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Physical Therapist, Doctor of Physical Therapy
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Occupational Therapist
Career & Practice History
NPI enumerated April 28, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Appleton
- Dr. Nickolas Linkous, MD
- Dr. Todd Schubkegel, MD
- Dr. David Eggert, MD
- Dr. Nathan Van Zeeland, MD
- Dr. David Conrad, MD
- Dr. Jay Minorik, MD
Mailing Address
2323 N Casaloma Dr
Appleton, WI 549138284
Phone: 9207308833