Doctor profile · Federal record
Dr. Justin Toth, PA-C
Medical Physician Assistant (CMS: Physician Assistant) · Wilmington, NC
- NPI 1952785131
- Accepts Medicare
- MIPS 100.0 / 100 · 2023
- 11 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5115 Oleander Dr
Wilmington, NC 284037018
(910) 362-1011
Credentials & registration
- NPI registered
- July 2015 — 11 yrs on file
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State license (1)
- North Carolina #0010-05859
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952785131. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,051
Distinct HCPCS
8
Medicare allowed
$96,466
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 539 | 292 | $102 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 141 | 134 | $72 | |
85025 |
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 123 | 106 | $7 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 121 | 121 | $133 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 67 | 64 | $141 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 28 | 22 | $63 | |
46600 |
Diagnostic exam of anus using an endoscope | 18 | 18 | $95 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 14 | 14 | $90 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 119. This provider delivers 8.8× the peer median.Open Payments
Industry payments received
All-time total
$1,382
Transactions
68
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 19 | $352.46 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 10 | $161.79 | |
| Medtronic, Inc. | 1 | $153.22 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 9 | $141.11 | |
| Intercept Pharmaceuticals, Inc. | 5 | $88.40 | |
| Lilly USA, LLC | 4 | $80.17 | |
| Janssen Biotech, Inc. | 4 | $70.65 | |
| Ardelyx, Inc. | 4 | $61.40 | |
| Phathom Pharmaceuticals, Inc. | 3 | $50.58 | |
| PFIZER INC. | 3 | $45.77 | |
| Regeneron Healthcare Solutions, Inc. | 2 | $34.14 | |
| Madrigal Pharmaceuticals | 1 | $22.19 | |
| Gilead Sciences, Inc. | 1 | $20.14 | |
| Daiichi Sankyo Inc. | 1 | $18.57 | |
| Ipsen Biopharmaceuticals, Inc | 1 | $17.85 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,038
Patients
427
Total drug cost
$832,356
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 318 | 139 | $4,724 |
| Pantoprazole Sodium | Generic | 232 | 100 | $4,686 |
| Dicyclomine Hcl | Generic | 88 | 30 | $845 |
| Linzess (Linaclotide) | Brand | 53 | 22 | $71,665 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 51 | 48 | $784 |
| Esomeprazole Magnesium | Generic | 49 | 18 | $2,670 |
| Mesalamine | Generic | 40 | 12 | $28,121 |
| Spironolactone | Generic | 31 | 14 | $765 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 30 | 11 | $17,862 |
| Furosemide | Generic | 28 | 14 | $155 |
Hospital affiliations
Frequently asked questions
What is Dr. Justin Toth's medical specialty?
Dr. Justin Toth practices Medical Physician Assistant in Wilmington, NC.
Where does Dr. Justin Toth practice?
Dr. Justin Toth practices at 5115 Oleander Dr, Wilmington, NC 284037018. Office phone: 9103621011.
What is Dr. Justin Toth's NPI?
Dr. Justin Toth's National Provider Identifier (NPI) is 1952785131, issued by NPPES.
Does Dr. Justin Toth accept Medicare assignment?
Yes. Dr. Justin Toth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Justin Toth commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS 85025). Source: CMS Medicare Physician & Other Practitioners file.