ROBERT L TOSCANO M D
NPI 1205835063
Surgery in Columbus, OH

Q: What is Robert Toscano's NPI number?

The NPI number for Robert Toscano is 1205835063. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Robert Toscano's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Toscano was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment

30/100

CMS Quality Rating

3545 OLENTANGY RIVER RD, SUITE 525, COLUMBUS, OH 43214(614) 261-1900(614) 261-7538 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Robert L Toscano M D NPPES

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

ROBERT L TOSCANO M D (NPI 1205835063) is an individual surgery provider in Columbus, Ohio, licensed in Ohio (35070108T) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Indiana University School Of Medicine (1991).

NPPES Registry Identity

NPI1205835063

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameROBERT L TOSCANOCredential: M D

Location Address3545 OLENTANGY RIVER RD, SUITE 525Columbus, OH 43214-3907

Mailing Address345 Retreat Ln WPowell, OH 43065-9767 · (614) 841-1951

Phone(614) 261-1900

Fax(614) 261-7538

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1991

Enumeration DateJuly 14, 2005

Last NPPES UpdateApril 30, 2021

NPPES CertifiedApril 30, 2021

✔ NPI 1205835063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35070108T

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3545 OLENTANGY RIVER RD, Columbus, OH 43214

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Other Identifiers 1

Medicaid0264931OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Robert L Toscano M D 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 ID840223954

PECOS Enrollment IDI20100824000063

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.

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.

81 services81 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

25 services25 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

22 services22 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.

22 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services18 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.

17 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

16 services13 patients

Partial removal of small and large bowel with attachment of small and large bowel using an endoscope 44205

This procedure involves the partial removal of sections of your small and large bowel. An endoscope, a thin tube with a camera, aids in the process. The remaining parts of your bowels are then reconnected to restore digestive function.

15 services15 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.

14 services14 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

13 services13 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360017

Location111 South Grant AvenueColumbus, OH 43215 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

30/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

100

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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.

JEFF KOVER DDS

Dentist

3545 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 428-0487

DR. KATHLEEN ANN MCGOWAN M.D.

Ophthalmology

3545 OLENTANGY RIVER RD, STE. 400
COLUMBUS, OH 43214

Franklin County (614) 261-1285

MR. RICHARD EUGENE BIRNIE RPH

Pharmacist

3545 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214

Franklin County (614) 566-5115

MARK A STRAKA DDS

Dentist (Oral and Maxillofacial Surgery)

3545 OLENTANGY RIVER RD, SUITE 125
COLUMBUS, OH 43214

Franklin County (614) 267-0385

OHIO HEALTH CORPORATION

Pharmacy (Community/Retail Pharmacy)

3545 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214

Franklin County (614) 566-5115

KATHLEEN Q LUTTER, M.D., LLC

Specialist

3545 OLENTANGY RIVER RD, SUITE 401
COLUMBUS, OH 43214

Franklin County (614) 261-0101

GRANTRIVERSIDE MEDICAL CARE FOUNDATION, INC

Urology

3545 OLENTANGY RIVER RD, STE 501
COLUMBUS, OH 43214

Franklin County (614) 566-2714

RIVERSIDE OBSTETRICIANS AND GYNECOLOGISTS, INC.

Specialist

3545 OLENTANGY RIVER RD, STE 114
COLUMBUS, OH 43214

Franklin County (614) 268-3581

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 Robert Toscano's NPI number?

The NPI number for Robert Toscano is 1205835063. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Robert Toscano located?

Robert Toscano practices at 3545 Olentangy River Rd Suite 525, Columbus, OH 43214. The listed phone number is (614) 261-1900.

What is Robert Toscano's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Toscano enrolled in Medicare?

Yes. Robert Toscano 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 Robert Toscano accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Robert Toscano 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 Robert Toscano affiliated with any hospitals?

According to CMS data, Robert Toscano is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Toscano was last updated on April 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.