Matthew Toth, MD
NPI 1326452616 · Orthopaedic Surgery Physician · Milledgeville, GA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Toth, MD is a Orthopaedic Surgery Physician provider in Milledgeville, GA (NPI 1326452616).
Provider details
- NPI number
- 1326452616
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 85860 (GA)
Specialties & taxonomies
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
836 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 | 273 | $82 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 175 | $62 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 97 | $104 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 89 | $31 |
| X-Ray of Knee, 4 Or More Views73564 | 84 | $42 |
| X-Ray of Hip, 2-3 Views73502 | 52 | $42 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 117 | 42 |
| Methylprednisolone | 90 | 85 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 55 | 28 |
| Ondansetron Hcl | 52 | 46 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 29 | 22 |
| Meloxicam | 18 | — |
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 , 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.
$126 across 2 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
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Matthew Toth's NPI number?
- Matthew Toth's National Provider Identifier (NPI) is 1326452616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Toth's specialty?
- Matthew Toth is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Toth located?
- Matthew Toth's practice location on file with NPPES is 2803 N Columbia St Unit D, Milledgeville, GA 31061-6448.
- What is Matthew Toth's phone number?
- The practice phone number listed in the NPPES registry for Matthew Toth is (478) 414-5820.
- Does Matthew Toth accept Medicare?
- Matthew Toth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Toth's NPI active?
- Yes — Matthew Toth's NPI (1326452616) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.