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DR. MATTHEW TOTH MD
NPI 1326452616
Orthopaedic Surgery in Milledgeville, GA

Active since June 16, 2014PECOS EnrolledAccepts Medicare Assignment
2803 N COLUMBIA ST UNIT D, MILLEDGEVILLE, GA 31061(478) 414-5820(478) 414-4397 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2023, Aug 5, 2020, Jun 8, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Matthew Toth Md NPPES

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

DR. MATTHEW TOTH MD (NPI 1326452616) is an individual orthopaedic surgery provider in Milledgeville, Georgia, licensed in Georgia (85860) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Navicent Health Baldwin, and is a graduate of Georgetown University School Of Medicine (2014).

NPPES Registry Identity

NPI1326452616
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MATTHEW TOTHCredential: MD
Location Address2803 N COLUMBIA ST UNIT DMilledgeville, GA 31061-6448
Mailing Address3708 Northside DrMacon, GA 31210-2404 · (478) 745-4206 · Fax (478) 254-5463
Phone(478) 414-5820
Fax(478) 414-4397
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2014
Enumeration DateJune 16, 2014
Last NPPES UpdateOctober 23, 20254 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
✔ NPI 1326452616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in GA · 85860✔ Licensed in FL · ME139439
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2803 N COLUMBIA ST UNIT D, Milledgeville, GA 31061
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Dr. Matthew Toth 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 ID5395964639
PECOS Enrollment IDI20200617000527
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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
820 services127 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.
273 services179 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
175 services122 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.
97 services97 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
89 services67 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
84 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Putnam General Hospital

Critical Access Hospitals · Eatonton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111313
Location101 Lake Oconee ParkwayEatonton, GA 31024 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31061 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier15 claims15 services$216.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. CHARLES BRINSON SHIVER III M.D.
Internal Medicine
2803 N COLUMBIA ST UNIT D
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-0662
DR. CATHERINE S ROBERTS M.D.
Internal Medicine
2803 N COLUMBIA ST UNIT D
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-0662
KATLYN TAYLOR HOGG NP
Nurse Practitioner
2803 N COLUMBIA ST UNIT D
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-0662
DR. WILLIS REID ROBERTS JR. M.D.
Internal Medicine
2803 N COLUMBIA ST UNIT D
MILLEDGEVILLE, GA 31061
Baldwin County (478) 453-0662

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 Matthew Toth's NPI number?

The NPI number for Matthew Toth is 1326452616. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Matthew Toth located?

Matthew Toth practices at 2803 N Columbia St Unit D, Milledgeville, GA 31061. The listed phone number is (478) 414-5820.

What is Matthew Toth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Toth enrolled in Medicare?

Yes. Matthew Toth 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 Matthew Toth accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Matthew 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.

Is Matthew Toth affiliated with any hospitals?

According to CMS data, Matthew Toth is affiliated with Navicent Health Baldwin and Putnam General Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Toth was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.