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GINA TOTH NP
NPI 1093174427
Nurse Practitioner - Family in Saint Clairsville, OH

Active since February 12, 2016PECOS EnrolledAccepts Medicare Assignment
109 PLAZA DR, SAINT CLAIRSVILLE, OH 43950(740) 695-2090(740) 695-4116 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2025, May 13, 2020, Jul 7, 2017 and 1 more (4 updates tracked since 2016).

About Gina Toth Np NPPES

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

GINA TOTH NP (NPI 1093174427) is an individual family provider in Saint Clairsville, Ohio, licensed in Ohio (APRN.CNP.18461) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093174427
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGINA TOTHCredential: NP
Location Address109 PLAZA DRSaint Clairsville, OH 43950-9773
Mailing Address380 Summit AveSteubenville, OH 43952-2667 · (740) 283-7597 · Fax (740) 283-7807
Phone(740) 695-2090
Fax(740) 695-4116
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 12, 2016
Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
✔ NPI 1093174427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.18461
109 PLAZA DR, Saint Clairsville, OH 43950
Open in Google Maps ↗

Other Identifiers 2

Medicaid1093174427WV
Medicaid0168918OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gina Toth Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264729144
PECOS Enrollment IDI20160920002088
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services140 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
176 services102 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
52 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
44 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services18 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
20 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43950 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers28 claims59 services$5.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims24 services$0.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH WISE LLC
Family Medicine
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-5335
MR. NABA GOSWAMI MD
Internal Medicine
109 PLAZA DR
ST CLAIRSVILLE, OH 43950
Belmont County (740) 695-2609
JEANNE HUFFNER FNP
Nurse Practitioner (Family)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2090
JESSICA WILSON D.O.
Family Medicine
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2090
MS. SUZANNE MARIE KUBANCIK M.S.CCC-A
Audiologist
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-1058
STACI LYNN BUTKUS NP
Nurse Practitioner (Family)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-5200
AMY L BEAVER PA
Physician Assistant (Surgical)
109 PLAZA DR, SUITE A-2
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2443
MICHELLE LEIGH SKONECY APRN
Nurse Practitioner (Primary Care)
109 PLAZA DR
SAINT CLAIRSVILLE, OH 43950
Belmont County (740) 695-2090

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 Gina Toth's NPI number?

The NPI number for Gina Toth is 1093174427. It was assigned to this individual provider in the NPPES registry on February 12, 2016.

Where is Gina Toth located?

Gina Toth practices at 109 Plaza Dr, Saint Clairsville, OH 43950. The listed phone number is (740) 695-2090.

What is Gina Toth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Gina Toth enrolled in Medicare?

Yes. Gina Toth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gina Toth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Gina 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.

Is Gina Toth affiliated with any hospitals?

According to CMS data, Gina Toth is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Harrison Community Hospital, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Gina Toth was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.