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CYNTHIA TOTH M.D.
NPI 1275617144
Ophthalmology in Durham, NC

Active since October 25, 2006PECOS Enrolled
2100 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cynthia Toth M.d. NPPES

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

CYNTHIA TOTH M.D. (NPI 1275617144) is an individual ophthalmology provider in Durham, North Carolina, licensed in North Carolina (93-00614) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275617144
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCYNTHIA TOTHCredential: M.D.
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address4101 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111
Phone(919) 684-8111
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 26, 2013
✔ NPI 1275617144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 93-00614
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
2100 ERWIN RD, Durham, NC 27710
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Other Identifiers 3

Medicaid8983614NC
Medicare UPINE30312
Medicare PIN2191494NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Toth M.d. 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 Reassignment

Medicare enrollment records show Cynthia Toth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cape Fear Eye Associates PA
67 mi
Ophthalmology
1726 METRO MEDICAL DR
Fayetteville, NC 28304
  • Reassigned Medicare billing, North Carolina enrollment
  • 12 clinicians in this Medicare group
NPI 1962456343 (910) 484-2284

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 27710 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

NICOLAS DEL RIO AESCHLIMANN M.D.
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MR. GILBERT HOLMES CIOCCI
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Durham County (919) 668-1100
VINOD PRASAD
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
VIRGINIA KRAUS
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DR. SCOTT COUSINS MD
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
CINDY BLACK CRNA
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DONALD MOEDE
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
THOMAS D'AMICO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467

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 Cynthia Toth's NPI number?

The NPI number for Cynthia Toth is 1275617144. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Cynthia Toth located?

Cynthia Toth practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Cynthia Toth's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Cynthia Toth enrolled in Medicare?

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

Which organization bills Medicare for Cynthia Toth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Toth reassigns Medicare benefits to Cape Fear Eye Associates PA (Fayetteville, NC). The 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 Cynthia Toth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Toth accept?

Health plans from Cigna Healthcare list Cynthia 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.

When was this NPI record last updated?

The NPPES record for Cynthia Toth was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.