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CATALIN TOMA
NPI 1356441497
Internal Medicine - Interventional Cardiology in Pittsburgh, PA

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUH, PITTSBURGH, PA 15213(412) 647-6000 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2021, Oct 23, 2018 (2 updates tracked since 2018).

About Catalin Toma NPPES

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

CATALIN TOMA (NPI 1356441497) is an individual interventional cardiology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD419381) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Sewickley, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1356441497
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameCATALIN TOMA
Location AddressUPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUHPittsburgh, PA 15213-2546
Mailing AddressUpmc Physician Services, 3600 Meyran Street, Suite 9055, Forbes TowerPittsburgh, PA 15213
Phone(412) 647-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
✔ NPI 1356441497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PA · MD419381
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
UPMC HEART AND VASCULAR INSTITUTE, Pittsburgh, PA 15213
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Catalin Toma 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 ID7719984525
PECOS Enrollment IDI20061108000273
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 Reassignments

2

Medicare enrollment records show Catalin Toma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
0.2 mi
Internal Medicine
120 LYTTON AVE, SUITE 100A
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1316076581 (412) 647-4545
Upmc Altoona Regional Health Services, Inc
82 mi
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1639158488 (814) 946-1655

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
68 services62 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.
66 services56 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
34 services27 patients
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978
This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
30 services29 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.
27 services25 patients
Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
25 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 3

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

ASHLEY LEE
Internal Medicine (Interventional Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUH
PITTSBURGH, PA 15213
Allegheny County (412) 647-6000
GAVIN WILLIAM HICKEY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
JOHN PACELLA MD
Internal Medicine (Cardiovascular Disease)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP ST WING 5B
PITTSBURGH, PA 15213
Allegheny County (412) 647-3087

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 Catalin Toma's NPI number?

The NPI number for Catalin Toma is 1356441497. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Catalin Toma located?

Catalin Toma practices at Upmc Heart And Vascular Institute 200 Lothrop Street, 5B, Puh, Pittsburgh, PA 15213. The listed phone number is (412) 647-6000.

What is Catalin Toma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Catalin Toma enrolled in Medicare?

Yes. Catalin Toma 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.

Which organizations bill Medicare for Catalin Toma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catalin Toma reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Upmc Altoona Regional Health Services, Inc (Altoona, PA). Each 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 Catalin Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Catalin Toma affiliated with any hospitals?

According to CMS data, Catalin Toma is affiliated with Heritage Valley Sewickley, Upmc Altoona, Penn Highlands Dubois, Upmc St Margaret and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Catalin Toma was last updated on March 29, 2021. 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.