Peter Toth, M.D.
NPI 1861572869 · Family Medicine Physician · Sterling, IL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Toth, M.D. is a Family Medicine Physician provider in Sterling, IL (NPI 1861572869).
Provider details
- NPI number
- 1861572869
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036061910 (IL)
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
19 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
3,100 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 | 1,415 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,358 | $94 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 220 | $64 |
| X-Ray of Chest, 2 Views71046 | 29 | $10 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 19 | $9 |
| Removal of Noncancer Skin Growth of Body, Arms, Or Legs, 1.1-2.0 Cm |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 168 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 881 | 240 |
| Rosuvastatin Calcium | 587 | 173 |
| Amlodipine Besylate | 562 | 153 |
| Metformin Hcl | 442 | 109 |
| Levothyroxine Sodium | 439 | 111 |
| Ezetimibe | 299 | 83 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$157,438 across 157 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
- 2006-10-16
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Frequently asked questions
- What is Peter Toth's NPI number?
- Peter Toth's National Provider Identifier (NPI) is 1861572869, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Toth's specialty?
- Peter Toth is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Peter Toth located?
- Peter Toth's practice location on file with NPPES is 101 E Miller Rd, Sterling, IL 61081-1252.
- What is Peter Toth's phone number?
- The practice phone number listed in the NPPES registry for Peter Toth is (815) 625-4790.
- Does Peter Toth accept Medicare?
- Peter Toth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Toth's NPI active?
- Yes — Peter Toth's NPI (1861572869) is active in the NPPES registry as of the last update on 2021-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.