Doctor profile · Federal record
Dr. Rachel Toney, MD
Gastroenterology Physician (CMS: Gastroenterology) · Pittsburgh, PA
- NPI 1225189780
- Accepts Medicare
- MIPS 92.5 / 100 · 2023
- 23 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1307 Federal St, Suite B100
Pittsburgh, PA 152124769
(412) 359-8900
fax (412) 359-8977
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- November 18, 2020
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Pennsylvania #MD435342
- Medicaid
- PA #103236270
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225189780. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
202
Distinct HCPCS
7
Medicare allowed
$26,856
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 43 | 42 | $81 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 39 | 39 | $241 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 35 | 35 | $105 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 33 | 23 | $117 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 20 | 18 | $123 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 17 | 17 | $136 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 15 | 14 | $111 |
In context: peer comparison
Among 37 peers in this city , average services per provider: 35. This provider delivers 5.8× the peer median.Open Payments
Industry payments received
All-time total
$255
Transactions
7
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Grifols USA, LLC | 1 | $120.02 | |
| GlaxoSmithKline, LLC. | 1 | $28.13 | |
| GENZYME CORPORATION | 1 | $27.52 | |
| PFIZER INC. | 1 | $24.55 | |
| Phathom Pharmaceuticals, Inc. | 1 | $22.44 | |
| Ardelyx, Inc. | 1 | $18.39 | |
| Xeris Pharmaceuticals, Inc. | 1 | $14.28 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
708
Patients
281
Total drug cost
$149,360
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Linzess (Linaclotide) | Brand | 144 | 36 | $85,650 |
| Gavilyte-C (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 137 | 135 | $2,696 |
| Pantoprazole Sodium | Generic | 120 | 31 | $1,711 |
| Omeprazole | Generic | 118 | 23 | $1,440 |
| Dicyclomine Hcl | Generic | 52 | 18 | $797 |
| Famotidine | Generic | 41 | 13 | $441 |
| Budesonide Dr (Budesonide) | Brand | 28 | 0 | $2,013 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 25 | 25 | $2,047 |
| Cholestyramine (Cholestyramine (With Sugar)) | Brand | 16 | 0 | $1,794 |
| Creon (Lipase/Protease/Amylase) | Brand | 16 | 0 | $45,091 |
Hospital affiliations
Frequently asked questions
What is Dr. Rachel Toney's medical specialty?
Dr. Rachel Toney practices Gastroenterology Physician in Pittsburgh, PA.
Where does Dr. Rachel Toney practice?
Dr. Rachel Toney practices at 1307 Federal St, Pittsburgh, PA 152124769. Office phone: 4123598900.
What is Dr. Rachel Toney's NPI?
Dr. Rachel Toney's National Provider Identifier (NPI) is 1225189780, issued by NPPES.
Does Dr. Rachel Toney accept Medicare assignment?
Yes. Dr. Rachel Toney accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Rachel Toney commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221); Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.