Clarence Toney, MD
NPI 1497013726 · Orthopaedic Surgery Physician · Richmond, VA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clarence Toney, MD is a Orthopaedic Surgery Physician provider in Richmond, VA (NPI 1497013726).
Provider details
- NPI number
- 1497013726
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 0101264626 (VA)
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
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
86 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 | 56 | $63 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 15 | $124 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 15 | $157 |
Typical Medicare-allowed amounts for these services range $63–$157 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
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) |
|---|---|
| Oxycodone Hcl | 26 |
| Diclofenac Sodium | 14 |
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.
$367 across 3 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 (6)
- 10528 Spotsylvania AveFredericksburg, VA 22408-2710Phone: (804) 828-2467Fax: (540) 891-3175
- 11958 W Broad StHenrico, VA 23233-1007Phone: (804) 360-4669Fax: (804) 364-6557
- 1250 E Marshall StRichmond, VA 23298-5051Phone: (804) 828-7069Fax: (804) 828-4762
- 1000 E Broad StRichmond, VA 23219-1930Phone: (804) 828-7069Fax: (804) 628-5855
- 1300 W Broad St Ste 113Richmond, VA 23284-9089Phone: (804) 828-7069Fax: (804) 828-0354
- 9000 Stony Point PkwyRichmond, VA 23235-1900Phone: (804) 560-8945Fax: (804) 560-7199
Registry dates
- Enumerated
- 2012-04-24
- Last updated
- 2018-10-05
Frequently asked questions
- What is Clarence Toney's NPI number?
- Clarence Toney's National Provider Identifier (NPI) is 1497013726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clarence Toney's specialty?
- Clarence Toney is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Clarence Toney located?
- Clarence Toney's practice location on file with NPPES is 417 N 11th St, Richmond, VA 23298-5002.
- What is Clarence Toney's phone number?
- The practice phone number listed in the NPPES registry for Clarence Toney is (804) 828-7069.
- Does Clarence Toney accept Medicare?
- Clarence Toney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clarence Toney's NPI active?
- Yes — Clarence Toney's NPI (1497013726) is active in the NPPES registry as of the last update on 2018-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.