RACHEL CELESTE TONEY MD
NPI 1225189780
Internal Medicine - Gastroenterology in Pittsburgh, PA

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1307 FEDERAL ST, SUITE B100, PITTSBURGH, PA 15212(412) 359-8900(412) 359-8977 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Oct 6, 2020, Apr 10, 2017 and 5 more (8 updates tracked since 2016).

About Rachel Celeste Toney Md NPPES

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

RACHEL CELESTE TONEY MD (NPI 1225189780) is an individual gastroenterology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD435342) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of University Of Virginia School Of Medicine (2003).

NPPES Registry Identity

NPI1225189780
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameRACHEL CELESTE TONEYCredential: MD
Location Address1307 FEDERAL ST, SUITE B100Pittsburgh, PA 15212-4769
Mailing Address1307 Federal St, Suite B100Pittsburgh, PA 15212-4769 · (412) 359-8900 · Fax (412) 359-8977
Fax(412) 359-8977
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2003
Enumeration DateJanuary 12, 2007
Last NPPES UpdateNovember 18, 20208 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
NPI 1225189780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in PA · MD435342
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1307 FEDERAL ST, Pittsburgh, PA 15212

Other Identifiers 2

Medicaid103236270PA
Other12101462Caqh

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

Rachel Celeste Toney 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 ID5597897405
PECOS Enrollment IDI20170105002099
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 8

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
44 services44 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
41 services41 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
34 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services26 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.
23 services20 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
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.

Nurse Anesthetist, Certified Registered
1307 FEDERAL ST, SUITE 101
PITTSBURGH, PA 15212
Specialist/Technologist (Athletic Trainer)
1307 FEDERAL ST
PITTSBURGH, PA 15212
Nurse Anesthetist, Certified Registered
1307 FEDERAL ST, SUITE 101
PITTSBURGH, PA 15212
Internal Medicine
1307 FEDERAL ST, SUITE B300
PITTSBURGH, PA 15212
Internal Medicine (Gastroenterology)
1307 FEDERAL ST, SUITE B100
PITTSBURGH, PA 15212
Urology
1307 FEDERAL ST, SUITE 300
PITTSBURGH, PA 15212
Physician Assistant (Surgical)
1307 FEDERAL ST, FLOOR 2
PITTSBURGH, PA 15212
Physical Medicine & Rehabilitation
1307 FEDERAL ST, 2ND FLOOR
PITTSBURGH, PA 15212

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 Rachel Toney's NPI number?

The NPI number for Rachel Toney is 1225189780. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Rachel Toney located?

Rachel Toney practices at 1307 Federal St Suite B100, Pittsburgh, PA 15212. The listed phone number is (412) 359-8900.

What is Rachel Toney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rachel Toney enrolled in Medicare?

Yes. Rachel Toney 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.

Is Rachel Toney affiliated with any hospitals?

According to CMS data, Rachel Toney is affiliated with Allegheny General Hospital, West Penn Hospital, Jefferson Hospital, Forbes Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Rachel Toney was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.