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ANTHONY MARTIN TOTH DO
NPI 1184786915
Obstetrics & Gynecology in Farmington, ME

Active since December 15, 2006PECOS Enrolled
93.57/100
CMS Quality Rating
181 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 563-4700 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2021, Oct 9, 2020 (2 updates tracked since 2020).

About Anthony Martin Toth Do NPPES

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

ANTHONY MARTIN TOTH DO (NPI 1184786915) is an individual obstetrics & gynecology provider in Farmington, Maine, licensed in Oregon (DO204571) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Front Royal.

NPPES Registry Identity

NPI1184786915
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANTHONY MARTIN TOTHCredential: DO
Location Address181 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address449 Skyline Forest DrFront Royal, VA 22630-7757
Phone(207) 563-4700
Sole ProprietorNo
Enumeration DateDecember 15, 2006
Last NPPES UpdateSeptember 18, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2023
✔ NPI 1184786915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OR · DO204571✔ Licensed in VA · 0102050130✔ Licensed in ME · DO1391
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
181 FRANKLIN HEALTH CMNS, Farmington, ME 04938
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Secondary Practice Location 1

Location 1449 Skyline Forest DrFront Royal, VA 22630-7757 · Phone (540) 635-6460

Other Identifiers 2

Other271917VA · Anthem
Medicaid6Z10392VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Martin Toth Do 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Anthony Toth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainegeneral Medical Center
26 mi
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
NPI 1083949184 (207) 872-4454
Inova Health Care Services
539 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300
Alaska Native Tribal Health Consortium
3,283 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04938 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.33
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MS. DALENE ELIZABETH SINSKIE LCSW
Social Worker (Clinical)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
ANFIN ERICKSON M.D.
Surgery
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
TAYLOR LEIGH MUNSCH MD
Family Medicine
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
AMY S DAVIS LCSW
Social Worker (Clinical)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-0482
ABIODUN FATIMA BALOGUN MD
Pediatrics
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-0482
DR. ALISA M CLEARY DO
Family Medicine (Addiction Medicine)
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-4922
KELSEY CHARLENE CAMPBELL MD
Family Medicine
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-3326
DR. THOMAS M ROESCH MD
Obstetrics & Gynecology
181 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6394

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 Anthony Toth's NPI number?

The NPI number for Anthony Toth is 1184786915. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Anthony Toth located?

Anthony Toth practices at 181 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 563-4700.

What is Anthony Toth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Anthony Toth enrolled in Medicare?

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

Which organizations bill Medicare for Anthony Toth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Toth reassigns Medicare benefits to 3 organizations: Mainegeneral Medical Center (Augusta, ME), Inova Health Care Services (Vienna, VA) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Toth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Anthony Toth was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.