Justin Toth, PA-C
NPI 1952785131 · Medical Physician Assistant · Wilmington, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Toth, PA-C is a Medical Physician Assistant provider in Wilmington, NC (NPI 1952785131).
Provider details
- NPI number
- 1952785131
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0010-05859 (NC)
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 tenure25% of score
10 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
912 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 546 | $101 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 91 | $8 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 83 | $137 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 78 | $132 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $72 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 315 | 122 |
| Pantoprazole Sodium | 194 | 77 |
| Esomeprazole Magnesium | 81 | 19 |
| Dicyclomine Hcl | 68 | 27 |
| Ondansetronbrand: Ondansetron Odt | 65 | 23 |
| Linaclotidebrand: Linzess | 57 | 21 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 45 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,382 across 72 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
- 2015-07-16
- Last updated
- 2015-07-16
Frequently asked questions
- What is Justin Toth's NPI number?
- Justin Toth's National Provider Identifier (NPI) is 1952785131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Toth's specialty?
- Justin Toth is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Justin Toth located?
- Justin Toth's practice location on file with NPPES is 5115 Oleander Dr, Wilmington, NC 28403-7018.
- What is Justin Toth's phone number?
- The practice phone number listed in the NPPES registry for Justin Toth is (910) 362-1011.
- Does Justin Toth accept Medicare?
- Justin Toth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Toth's NPI active?
- Yes — Justin Toth's NPI (1952785131) is active in the NPPES registry as of the last update on 2015-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.