MR. JAMES H. TOBY MD
NPI 1326343716
Radiology - Diagnostic Radiology in Austin, TX

Active since January 17, 2011PECOS EnrolledAccepts Medicare Assignment
12554 RIATA VISTA CIR, AUSTIN, TX 78727(512) 795-5100(512) 795-5122 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. James H. Toby Md NPPES

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

MR. JAMES H. TOBY MD (NPI 1326343716) is an individual diagnostic radiology provider in Austin, Texas, licensed in Texas (Q6378) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Medical Center Of Florida, Inc, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1326343716
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMR. JAMES H. TOBYCredential: MD
Location Address12554 RIATA VISTA CIRAustin, TX 78727-6431
Mailing Address12554 Riata Vista CirAustin, TX 78727-6431 · (512) 795-5100 · Fax (512) 795-5122
Fax(512) 795-5122
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 17, 2011
Last NPPES UpdateMay 2, 2016
NPI 1326343716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · Q6378
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License P71704 (NY)
12554 RIATA VISTA CIR, Austin, TX 78727

Other Identifiers 1

Medicare PIN453949YQTETX

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

Mr. James H. Toby 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 ID840590907
PECOS Enrollment IDI20220817001760
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 32

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
337 services264 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
243 services237 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
241 services241 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
101 services99 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
95 services91 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
86 services84 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100034
Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County
Emergency services Birthing friendly

Lower Keys Medical Center

Acute Care Hospitals · Key West, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100150
Location5900 College RoadKey West, FL 33040 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78727 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Clinic/Center (Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Physician Assistant
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Diagnostic Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727
Radiology (Vascular & Interventional Radiology)
12554 RIATA VISTA CIR
AUSTIN, TX 78727

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 James Toby's NPI number?

The NPI number for James Toby is 1326343716. It was assigned to this individual provider in the NPPES registry on January 17, 2011.

Where is James Toby located?

James Toby practices at 12554 Riata Vista Cir, Austin, TX 78727. The listed phone number is (512) 795-5100.

What is James Toby's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is James Toby enrolled in Medicare?

Yes. James Toby 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 James Toby affiliated with any hospitals?

According to CMS data, James Toby is affiliated with Mount Sinai Medical Center Of Florida, Inc and Lower Keys Medical Center.

When was this NPI record last updated?

The NPPES record for James Toby was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.