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KELLY A TOTH PAC
NPI 1043276470
Physician Assistant in Lehighton, PA

Active since April 25, 2006PECOS Enrolled
211 N 11TH STREET, LEHIGHTON, PA 18235(610) 377-7080 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly A Toth Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY A TOTH PAC (NPI 1043276470) is an individual physician assistant in Lehighton, Pennsylvania, licensed in Pennsylvania (MA052339) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043276470
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY A TOTHCredential: PAC
Location Address211 N 11TH STREETLehighton, PA 18235
Mailing AddressPo Box 1754Allentown, PA 18105-1754 · (484) 884-0183 · Fax (484) 884-0628
Phone(610) 377-7080
Sole ProprietorNo
Enumeration DateApril 25, 2006
Last NPPES UpdateApril 10, 2012
✔ NPI 1043276470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA052339
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
211 N 11TH STREET, Lehighton, PA 18235
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Other Names 1

Former Name (1)Kelly A Pietrouchie

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly A Toth Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Toth's NPI number?

The NPI number for Kelly Toth is 1043276470. It was assigned to this individual provider in the NPPES registry on April 25, 2006. The provider is also known as Kelly A Pietrouchie.

Where is Kelly Toth located?

Kelly Toth practices at 211 N 11th Street, Lehighton, PA 18235. The listed phone number is (610) 377-7080.

What is Kelly Toth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Toth enrolled in Medicare?

Yes. Kelly Toth is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Toth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kelly Toth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Toth was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.