Doctor profile · Federal record
Dr. Toni Pacioles, MD
Hematology & Oncology Physician (CMS: Hematology/Oncology) · Internal Medicine Physician · Huntington, WV
- NPI 1396959995
- Accepts Medicare
- MIPS 21.5 / 100 · 2023
- 22 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1400 Hal Greer Blvd
Huntington, WV 257014114
(304) 399-6610
fax (304) 399-6667
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- December 6, 2021
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207RH0003X — NUCC code
- State license (1)
- West Virginia #25509
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396959995. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,692
Distinct HCPCS
9
Medicare allowed
$177,536
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 872 | 310 | $93 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 411 | 131 | $137 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 129 | 97 | $63 | |
M0010 |
Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services | 102 | 25 | $76 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 65 | 65 | $172 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 48 | 47 | $167 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 28 | $75 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 15 | 13 | $116 | |
99442 |
Telephone medical discussion with physician, 11-20 minutes | 14 | 13 | $64 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 171. This provider delivers 9.9× the peer median.Open Payments
Industry payments received
All-time total
$87
Transactions
5
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 2 | $36.18 | |
| E.R. Squibb & Sons, L.L.C. | 2 | $31.50 | |
| Tempus AI, Inc | 1 | $19.26 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
794
Patients
331
Total drug cost
$1,376,834
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Xtandi (Enzalutamide) | Brand | 90 | 16 | $1,249,472 |
| Ondansetron Hcl | Generic | 83 | 62 | $1,282 |
| Prednisone | Generic | 80 | 40 | $582 |
| Anastrozole | Generic | 76 | 24 | $2,252 |
| Gabapentin | Generic | 75 | 16 | $819 |
| Prochlorperazine Maleate | Generic | 67 | 54 | $1,584 |
| Eliquis (Apixaban) | Brand | 46 | 14 | $42,485 |
| Abiraterone Acetate | Generic | 44 | 11 | $76,523 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 39 | 19 | $577 |
| Levofloxacin | Generic | 38 | 22 | $242 |
Hospital affiliations
Frequently asked questions
What is Dr. Toni Pacioles's medical specialty?
Dr. Toni Pacioles practices Hematology & Oncology Physician in Huntington, WV.
Where does Dr. Toni Pacioles practice?
Dr. Toni Pacioles practices at 1400 Hal Greer Blvd, Huntington, WV 257014114. Office phone: 3043996610.
What is Dr. Toni Pacioles's NPI?
Dr. Toni Pacioles's National Provider Identifier (NPI) is 1396959995, issued by NPPES.
Does Dr. Toni Pacioles accept Medicare assignment?
Yes. Dr. Toni Pacioles accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Toni Pacioles 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 99215); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.