Physician

Constantine A Toumbis, MD, PHD

According to 2025 Medicare claims, Constantine Toumbis, MD, PHD (NPI: 1386781409) practices orthopedic surgery in the Homosassa Springs, FL market, with the plurality of this provider's patient population coming from Citrus, FL. This provider's primary affiliated billing organization is CITRUS SPINE INSTITUTE LLC (NPI: 1396113676; TIN: 47-4864295) and primary practice location at 34429-8721.

Toumbis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 439 traditional Medicare patients, billed 18,912 HCPCS/CPT codes, and received $754,014 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 1,026 prescription claims across 425 beneficiaries totaling $8,354 in drug costs, led by Diclofenac Sodium-Misoprostol (Diclofenac Sodium/Misoprostol). DME data shows 105 claims. Open Payments data shows 16 records totaling $212,435. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved from a higher plateau to a lower plateau, from $1,058,819 to $754,014. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $93,869 to $8,354. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $17,658 to $0.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	1,901	6,760	$1,058,819
2016	1,353	6,634	$1,162,487
2017	1,000	3,766	$1,794,996
2018	823	2,570	$1,709,211
2019	786	3,082	$1,612,359
2020	672	3,215	$1,243,325
2021	632	2,336	$1,142,215
2022	523	2,410	$843,183
2023	478	1,843	$763,922
2024	439	18,912	$754,014

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	1,074	4,181	$93,869
2016	1,040	4,509	$91,251
2017	919	3,768	$88,629
2018	836	2,729	$60,732
2019	811	2,184	$36,200
2020	654	1,567	$22,530
2021	530	1,145	$13,817
2022	423	871	$11,927
2023	474	1,124	$12,545
2024	425	1,026	$8,354

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	128	142	$31,794
2016	243	243	$163,662
2017	212	212	$180,779
2018	175	198	$169,056
2019	157	157	$180,146
2020	142	142	$214,396
2021	102	102	$128,793
2022	60	60	$34,266
2023	71	71	$47,338
2024	105	105	$66,272

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	99	146	$206
62323	Injection of substance into lower spine canal using imaging guidance	69	101	$200
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	309	$102
J1010	Injection, methylprednisolone acetate, 1 mg	153	17,520	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Diclofenac Sodium-Misoprostol	Diclofenac Sodium/Misoprostol	18	540	$1,698
Tizanidine Hcl	Tizanidine Hcl	226	7,907	$1,107
Celecoxib	Celecoxib	35	1,170	$1,103
Methylprednisolone	Methylprednisolone	143	856	$1,085
Baclofen	Baclofen	156	5,180	$762

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L0650	Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	N	93	93	$62,695
L0180	Cervical, multiple post collar, occipital/mandibular supports, adjustable	N	12	12	$3,578

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	16	$212,435	Hyhte Holdings Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Constantine A. Toumbis, MD, PHD?

Tedicare shows public-source Medicare data for Constantine A. Toumbis, MD, PHD (NPI 1386781409), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Constantine A. Toumbis, MD, PHD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Constantine A. Toumbis, MD, PHD?

Constantine A. Toumbis, MD, PHD is linked to CITRUS SPINE INSTITUTE LLC (billing NPI 1396113676) in the available physician profile data.

Does Constantine A. Toumbis, MD, PHD have Open Payments data?

Constantine A. Toumbis, MD, PHD has 16 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.