Toby Paulson, D.O.
NPI 1235264169 · Cardiovascular Disease Physician · American Fork, UT
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Toby Paulson, D.O. is a Cardiovascular Disease Physician provider in American Fork, UT (NPI 1235264169).
Provider details
- NPI number
- 1235264169
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8938 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,001 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 333 | $15 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 249 | $64 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 195 | $120 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 189 | $170 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 136 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 63 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carvedilol | 167 | 52 |
| 0.9 % Sodium Chloridebrand: Sodium Chloride | 146 | — |
| Atorvastatin Calcium | 112 | 33 |
| Ringer'S Solution,lactatedbrand: Lactated Ringers | 109 | — |
| Sacubitril/Valsartanbrand: Entresto | 103 | 18 |
| Losartan Potassium | 92 | 24 |
| Empagliflozin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,817 across 42 records (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 (2)
- 3000 N Triumph Blvd Ste 100Lehi, UT 84043-4999Phone: (801) 373-4366
- 700 W 800 N Ste 230Orem, UT 84057-6301Phone: (801) 429-0620
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2023-11-27
- Certified
- 2020-03-17
Frequently asked questions
- What is Toby Paulson's NPI number?
- Toby Paulson's National Provider Identifier (NPI) is 1235264169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Toby Paulson's specialty?
- Toby Paulson is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Toby Paulson located?
- Toby Paulson's practice location on file with NPPES is 1175 E 50 S, American Fork, UT 84003-2845.
- What is Toby Paulson's phone number?
- The practice phone number listed in the NPPES registry for Toby Paulson is (801) 492-2815.
- Does Toby Paulson accept Medicare?
- Toby Paulson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Toby Paulson's NPI active?
- Yes — Toby Paulson's NPI (1235264169) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.