Doctor profile · Federal record

Dr. Toby Terwilliger, MD

Hospitalist Physician (CMS: Internal Medicine) · Internal Medicine Physician · Pediatrics Physician · Student in an Organized Health Care Education/Training Program · Atlanta, GA

  • NPI 1174058275
  • Accepts Medicare
  • MIPS 86.2 / 100 · 2023
  • 9 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
80 Jesse Hill JR Dr Se
Atlanta, GA 303033050
(585) 755-0192
Mailing address
143 Maple Hill Farm RD
Penfield, NY 145261713

Credentials & registration

NPPES · NUCC
NPI registered
April 2017 — 9 yrs on file
Profile last updated
August 23, 2021
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
208M00000X — NUCC code
State license (1)
Georgia #88520

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1174058275. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
217
Distinct HCPCS
5
Medicare allowed
$22,570
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 69 24 $78
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 48 19 $118
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 37 35 $171
99239 Hospital discharge day management, more than 30 minutes 33 33 $113
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 30 11 $49

In context: peer comparison

Among 121 peers in this city , average services per provider: 116. This provider delivers 1.9× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
158
Patients
45
Total drug cost
$53,861
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 26 19 $469
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 22 0 $1,115
Eliquis (Apixaban) Brand 21 11 $16,575
Metoprolol Succinate Generic 21 15 $386
Farxiga (Dapagliflozin Propanediol) Brand 18 0 $25,298
Symbicort (Budesonide/Formoterol Fumarate) Brand 14 0 $9,038
Clopidogrel (Clopidogrel Bisulfate) Brand 13 0 $266
Carvedilol Generic 12 0 $284
Esomeprazole Magnesium Generic 11 0 $429

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Toby Terwilliger's medical specialty?
Dr. Toby Terwilliger practices Hospitalist Physician in Atlanta, GA.
Where does Dr. Toby Terwilliger practice?
Dr. Toby Terwilliger practices at 80 Jesse Hill JR Dr Se, Atlanta, GA 303033050. Office phone: 5857550192.
What is Dr. Toby Terwilliger's NPI?
Dr. Toby Terwilliger's National Provider Identifier (NPI) is 1174058275, issued by NPPES.
Does Dr. Toby Terwilliger accept Medicare assignment?
Yes. Dr. Toby Terwilliger accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Toby Terwilliger commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.