Physician

Alison P Toth, MD

According to 2025 Medicare claims, Alison Toth, MD (NPI: 1982644720) practices orthopedic surgery in the Durham-Chapel Hill, NC market, with the plurality of this provider's patient population coming from Durham, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27705-3976. Toth is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Toth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 101 traditional Medicare patients, billed 244 HCPCS/CPT codes, and received $39,246 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 42 prescription claims across 21 beneficiaries totaling $301 in drug costs, led by Meloxicam (Meloxicam). 2023 DME data shows 41 claims. No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have declined steadily, from $853 to $301. For DME billing, reported payments declined steadily, from $4,758 to $546.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	138	389	$50,147
2016	161	409	$51,670
2017	146	420	$54,451
2018	185	430	$59,173
2019	187	452	$55,712
2020	146	310	$43,543
2021	144	307	$42,417
2022	109	268	$39,314
2023	104	264	$40,787
2024	101	244	$39,246

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	18	34	$853
2016	24	38	$1,459
2017	22	39	$836
2018	28	52	$697
2019	27	42	$493
2020	16	32	$3,265
2021	18	32	$383
2022	15	25	$404
2023	17	29	$241
2024	21	42	$301

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	30	50	$1,605
2016	67	89	$6,906
2017	52	82	$6,227
2018	53	107	$8,109
2019	38	78	$5,823
2020	22	55	$3,963
2021	30	63	$4,814
2022	52	53	$4,362
2023	40	41	$4,081
2024	N/R	N/R	N/R

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$111
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	57	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	50	96	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Meloxicam	Meloxicam	18	540	$51

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Alison P. Toth, MD?

Tedicare shows public-source Medicare data for Alison P. Toth, MD (NPI 1982644720), 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 Alison P. Toth, MD have ACO affiliation data?

Alison P. Toth, MD is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Alison P. Toth, MD?

Alison P. Toth, MD is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Alison P. Toth, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.