DR. CONSTANTINE A TOUMBIS MD, PHD
NPI 1386781409
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Crystal River, FL

Q: What is Constantine Toumbis's NPI number?

The NPI number for Constantine Toumbis is 1386781409. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Constantine Toumbis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

6099 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429(352) 794-6868(352) 794-6869 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Constantine A Toumbis Md, Phd NPPES

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

DR. CONSTANTINE A TOUMBIS MD, PHD (NPI 1386781409) is an individual orthopaedic surgery of the spine provider in Crystal River, Florida, licensed in Florida (ME0080012) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and is a graduate of Wayne State University School Of Medicine (1998).

NPPES Registry Identity

NPI1386781409

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. CONSTANTINE A TOUMBISCredential: MD, PHD

Location Address6099 W GULF TO LAKE HWYCrystal River, FL 34429-8721

Mailing Address6099 W Gulf To Lake HwyCrystal River, FL 34429-8721 · (352) 794-6868 · Fax (352) 794-6869

Phone(352) 794-6868

Fax(352) 794-6869

Sole ProprietorYes

Medical School CMSWayne State University School Of MedicineGraduated 1998

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJanuary 6, 2016

✔ NPI 1386781409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in FL · ME0080012

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

6099 W GULF TO LAKE HWY, Crystal River, FL 34429

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Other Identifiers 3

Medicare UPINI07040FL

Medicaid269693200FL

Medicare ID-Type Unspecified43266XFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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. Constantine A Toumbis Md, Phd 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 ID3476530437

PECOS Enrollment IDI20040707000821

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 21

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.

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.

309 services273 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

146 services99 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

130 services60 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

101 services69 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

87 services87 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

73 services67 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

68 services44 patients

Treatment of broken lower spine bone with placement of stabilizing device 22514

This procedure involves fixing a broken bone in the lower spine. A stabilizing device is inserted to support the bone, promoting healing and reducing pain. The device helps to maintain proper spinal alignment and stability during your recovery period.

50 services46 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

50 services50 patients

Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance 22513

This procedure treats a broken bone in the middle of your spine. A stabilizing device is placed to support the damaged area. Imaging guidance, like X-rays, is used to ensure precise placement of the device. This aids in your recovery and helps maintain spine stability.

44 services40 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

31 services31 patients

Treatment of broken spine bone with stabilizing device, each additional segment 22515

This procedure involves the treatment of a fractured spine bone. A stabilizing device is used to support and secure each additional affected segment of the spine. This helps in proper alignment and promotes healing, enhancing your comfort and mobility.

30 services22 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

23 services23 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

21 services21 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

21 services21 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

16 services13 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

15 services11 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

15 services15 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

14 services14 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

13 services13 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Citrus Hospital

Acute Care Hospitals · Inverness, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100023

Location502 W Highland BlvdInverness, FL 34452 · Citrus County

Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100249

Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180

DME-Orthotic Devices · category DF000N

1 supplier24 claims24 services$284.38 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

1 supplier36 claims36 services$762.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CITRUS SPINE INSTITUTE LLC

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

6099 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429

Citrus County (352) 794-6868

CARE CLINIC, INC

Nurse Anesthetist, Certified Registered

6099 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429

Citrus County (888) 209-0305

ADVANCE CARE INC

Nurse Anesthetist, Certified Registered

6099 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429

Citrus County (352) 795-6868

BRITTANY JEANNE OLOFSSON PAC

Physician Assistant (Medical)

6099 W GULF TO LAKE HWY
CRYSTAL RIVER, FL 34429

Citrus County (352) 794-6868

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 Constantine Toumbis's NPI number?

The NPI number for Constantine Toumbis is 1386781409. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Constantine Toumbis located?

Constantine Toumbis practices at 6099 W Gulf To Lake Hwy, Crystal River, FL 34429. The listed phone number is (352) 794-6868.

What is Constantine Toumbis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Constantine Toumbis enrolled in Medicare?

Yes. Constantine Toumbis 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 Constantine Toumbis accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Constantine Toumbis 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 Constantine Toumbis affiliated with any hospitals?

According to CMS data, Constantine Toumbis is affiliated with Hca Florida Citrus Hospital and Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Constantine Toumbis was last updated on January 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.