Victor Toney, PA-C
NPI 1639126998 · Physician Assistant · Grafton, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victor Toney, PA-C is a Physician Assistant provider in Grafton, WI (NPI 1639126998).
Provider details
- NPI number
- 1639126998
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 969-023 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
110 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 52 | $72 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 34 | $44 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 24 | $53 |
Typical Medicare-allowed amounts for these services range $44–$72 (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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 102 | 51 |
| Oxycodone Hcl | 45 | 21 |
| Apixabanbrand: Eliquis | 37 | 24 |
| Tramadol Hcl | 27 | 15 |
| Cephalexin | 15 | 11 |
| Gabapentin | 14 | — |
| Oxycodone Hcl/Acetaminophen |
Practice location
Mailing address
Additional practice locations (1)
- 800 Clay StDarlington, WI 53530-1228Phone: (608) 776-5748Fax: (608) 776-5716
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Frequently asked questions
- What is Victor Toney's NPI number?
- Victor Toney's National Provider Identifier (NPI) is 1639126998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Victor Toney's specialty?
- Victor Toney is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Victor Toney located?
- Victor Toney's practice location on file with NPPES is 975 Port Washington Rd, Grafton, WI 53024-9201.
- What is Victor Toney's phone number?
- The practice phone number listed in the NPPES registry for Victor Toney is (262) 329-8300.
- Does Victor Toney accept Medicare?
- Victor Toney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Victor Toney's NPI active?
- Yes — Victor Toney's NPI (1639126998) is active in the NPPES registry as of the last update on 2021-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.