Toby Johnson, MD
NPI 1144203258 · Orthopaedic Hand Surgery Physician · Provo, UT
Enrolled with Medicare as Practitioner - Hand Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toby Johnson, MD is a Orthopaedic Hand Surgery Physician provider in Provo, UT (NPI 1144203258).
Provider details
- NPI number
- 1144203258
- Entity type
- Individual
- Primary specialty
- Orthopaedic Hand Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12294965-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
379 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 61 | $86 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 50 | $104 |
| Injection Into Tendon Or Ligament20550 | 48 | $46 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $122 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 46 | $159 |
| X-Ray of Finger, Minimum of 2 Views73140 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 93 | 78 |
| Meloxicam | 22 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$34 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 3000 N Triumph Blvd Ste 100Lehi, UT 84043-4999Phone: (801) 373-7351Fax: (801) 429-8085
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2024-07-22
- Certified
- 2024-07-22
Frequently asked questions
- What is Toby Johnson's NPI number?
- Toby Johnson's National Provider Identifier (NPI) is 1144203258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toby Johnson's specialty?
- Toby Johnson is listed in the NPPES registry with a primary specialty of Orthopaedic Hand Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Toby Johnson located?
- Toby Johnson's practice location on file with NPPES is 1055 N 500 W Ste 207, Provo, UT 84604-3305.
- What is Toby Johnson's phone number?
- The practice phone number listed in the NPPES registry for Toby Johnson is (801) 373-7350.
- Does Toby Johnson accept Medicare?
- Toby Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toby Johnson's NPI active?
- Yes — Toby Johnson's NPI (1144203258) is active in the NPPES registry as of the last update on 2024-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.