Doctor profile · Federal record
Dr. Toby Paulson, D.O.
Cardiovascular Disease Physician (CMS: Cardiovascular Disease (Cardiology)) · Internal Medicine Physician · Hospitalist Physician · American Fork, UT
- NPI 1235264169
- Accepts Medicare
- 21 yrs in practice
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1175 E 50 S, Ste 251
American Fork, UT 840032845
(801) 492-2815
fax (801) 492-0191 - Additional location
-
3000 N Triumph Blvd Ste 100
Lehi, UT 840434999
(801) 373-4366 - Additional location
-
700 W 800 N Ste 230
Orem, UT 840576301
(801) 429-0620 - Mailing address
-
1055 N 500 W, Attn: Credentialing
Provo, UT 846043305
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- November 27, 2023
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207RC0000X — NUCC code
- State licenses (3)
- Utah #8281654-1204 · Ohio #8938 · California #20A12193
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1235264169. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,966
Distinct HCPCS
10
Medicare allowed
$228,423
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 378 | 209 | $120 | |
J2785 |
Injection, regadenoson, 0.1 mg | 252 | 63 | $55 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 138 | 133 | $66 | |
93306 |
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 123 | 119 | $181 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 99 | 99 | $14 | |
A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose | 90 | 45 | $43 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 72 | 62 | $168 | |
93018 |
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 69 | 65 | $13 | |
A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 52 | 26 | $512 | |
36415 |
Insertion of needle into vein for collection of blood sample | 49 | 42 | $8 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 53. This provider delivers 37× the peer median.Open Payments
Industry payments received
All-time total
$3,817
Transactions
42
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | 11 | $3,108.37 | |
| Baxter Healthcare | 5 | $178.29 | |
| Bayer Healthcare Pharmaceuticals Inc. | 4 | $90.09 | |
| Novartis Pharmaceuticals Corporation | 3 | $64.73 | |
| PFIZER INC. | 4 | $59.52 | |
| E.R. Squibb & Sons, L.L.C. | 2 | $53.62 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 3 | $52.92 | |
| Janssen Pharmaceuticals, Inc | 2 | $42.74 | |
| Boston Scientific Corporation | 2 | $38.63 | |
| Alnylam Pharmaceuticals Inc. | 1 | $28.73 | |
| Lexicon Pharmaceuticals, Inc. | 1 | $26.57 | |
| Abbott Laboratories | 1 | $24.11 | |
| Amgen Inc. | 1 | $17.24 | |
| Teleflex LLC | 1 | $15.97 | |
| Esperion Therapeutics, Inc. | 1 | $15.86 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,284
Patients
317
Total drug cost
$283,539
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Carvedilol | Generic | 193 | 55 | $2,042 |
| Atorvastatin Calcium | Generic | 127 | 36 | $1,994 |
| Sodium Chloride (0.9 % Sodium Chloride) | Brand | 109 | 0 | $1,807 |
| Entresto (Sacubitril/Valsartan) | Brand | 83 | 15 | $63,864 |
| Spironolactone | Generic | 81 | 26 | $1,467 |
| Metoprolol Succinate | Generic | 79 | 23 | $1,247 |
| Xarelto (Rivaroxaban) | Brand | 77 | 21 | $81,381 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 74 | 29 | $1,330 |
| Eliquis (Apixaban) | Brand | 74 | 21 | $71,037 |
| Lactated Ringers (Ringer's Solution,lactated) | Brand | 74 | 0 | $1,908 |
Hospital affiliations
Frequently asked questions
What is Dr. Toby Paulson's medical specialty?
Dr. Toby Paulson practices Cardiovascular Disease Physician in American Fork, UT.
Where does Dr. Toby Paulson practice?
Dr. Toby Paulson practices at 1175 E 50 S, American Fork, UT 840032845. Office phone: 8014922815.
What is Dr. Toby Paulson's NPI?
Dr. Toby Paulson's National Provider Identifier (NPI) is 1235264169, issued by NPPES.
Does Dr. Toby Paulson accept Medicare assignment?
Yes. Dr. Toby Paulson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Toby Paulson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Injection, regadenoson, 0.1 mg (HCPCS J2785); Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS 93306). Source: CMS Medicare Physician & Other Practitioners file.