TOBY JOHNSON MD
NPI 1144203258
Orthopaedic Surgery - Hand Surgery in Provo, UT

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
1055 N 500 W STE 207, PROVO, UT 84604(801) 373-7350(801) 429-8085 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2024, Jul 1, 2021 (2 updates tracked since 2021).

About Toby Johnson Md NPPES

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

TOBY JOHNSON MD (NPI 1144203258) is an individual hand surgery provider in Provo, Utah, licensed in Utah (12294965-1205) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Lehi.

NPPES Registry Identity

NPI1144203258
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameTOBY JOHNSONCredential: MD
Location Address1055 N 500 W STE 207Provo, UT 84604-3305
Mailing Address1055 N 500 W, Att CredentialingProvo, UT 84604-3305 · (801) 354-8225 · Fax (801) 418-0941
Fax(801) 429-8085
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1144203258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in UT · 12294965-1205
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

1055 N 500 W STE 207, Provo, UT 84604

Secondary Practice Location 1

Location 13000 N Triumph Blvd Ste 100Lehi, UT 84043-4999 · Phone (801) 373-7351 · Fax (801) 429-8085

Other Identifiers 2

OtherP00276609CA · Railroad Medicare
Other0196688CA · State Of Washington

Accepted 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

Toby Johnson Md 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 ID42247298
PECOS Enrollment IDI20210804001542
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
207 services59 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.
61 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
48 services32 patients
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.
48 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Orem Community Hospital

Acute Care Hospitals · Orem, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number460043
Location331 North 400 WestOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers13 claims15 services$51.65 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 5

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

Orthopaedic Surgery (Hand Surgery)
1055 N 500 W STE 207
PROVO, UT 84604
Physician Assistant
1055 N 500 W STE 207
PROVO, UT 84604
Physician Assistant (Surgical)
1055 N 500 W STE 207
PROVO, UT 84604
Orthopaedic Surgery (Hand Surgery)
1055 N 500 W STE 207
PROVO, UT 84604
Nurse Practitioner
1055 N 500 W STE 207
PROVO, UT 84604

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 Toby Johnson's NPI number?

The NPI number for Toby Johnson is 1144203258. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Toby Johnson located?

Toby Johnson practices at 1055 N 500 W Ste 207, Provo, UT 84604. The listed phone number is (801) 373-7350.

What is Toby Johnson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Toby Johnson enrolled in Medicare?

Yes. Toby Johnson 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 Toby Johnson accept?

Health plans from BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Toby Johnson 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 Toby Johnson affiliated with any hospitals?

According to CMS data, Toby Johnson is affiliated with Utah Valley Hospital and Orem Community Hospital.

When was this NPI record last updated?

The NPPES record for Toby Johnson was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.