EDWARD B. TOBY M.D.
NPI 1518076728
Orthopaedic Surgery - Hand Surgery in Kansas City, KS

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
76.37/100
CMS Quality Rating
3901 RAINBOW BLVD, ORTHOPEDIC SURGERY MS 3017, KANSAS CITY, KS 66160(913) 588-6100(913) 588-8186 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edward B. Toby M.d. NPPES

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

EDWARD B. TOBY M.D. (NPI 1518076728) is an individual hand surgery provider in Kansas City, Kansas, licensed in Kansas (04-23638) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Ks Hlth System Great Bend Campus, and is a graduate of Indiana University School Of Medicine (1981).

NPPES Registry Identity

NPI1518076728
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameEDWARD B. TOBYCredential: M.D.
Location Address3901 RAINBOW BLVD, ORTHOPEDIC SURGERY MS 3017Kansas City, KS 66160
Mailing Address3901 Rainbow Blvd., Ms 4070 DelpKansas City, KS 66160-7816 · (913) 588-6100 · Fax (913) 588-8186
Fax(913) 588-8186
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1981
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 17, 2015
NPI 1518076728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in KS · 04-23638
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 04-23638 (KS)
3901 RAINBOW BLVD, Kansas City, KS 66160

Other Identifiers 7

Other17553046MO · Bcbs
Other203061908MO · Missouri Medicaid
Medicare UPINC81935KS
Other200023625Railroad Medicare
Medicaid100126860AKS
Other627210KS · Firstguard Of Kansas
Medicare PIN0092872AKS

Accepted 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

Edward B. Toby M.d. 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 ID9739175910
PECOS Enrollment IDI20100913000045
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 10

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, ropivacaine hydrochloride, 1 mg J2795
Ropivacaine hydrochloride is a local anesthetic used to numb specific areas of your body during minor surgical procedures or to relieve pain. The medicine is injected into the area requiring anesthesia.
146 services34 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
93 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
78 services63 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
37 services37 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.
35 services35 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
33 services22 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170191
Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County
Emergency services Birthing friendly

Clara Barton Hospital

Critical Access Hospitals · Hoisington, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171333
Location250 W 9th StreetHoisington, KS 67544 · Barton County
Emergency services

Pawnee Valley Community Hospital

Critical Access Hospitals · Larned, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171345
Location923 Carroll AvenueLarned, KS 67550 · Pawnee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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.

76.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.84
Promoting Interoperability100
Improvement Activities40
Cost64.41

Referred Medical Equipment & Supplies CMS DME claims 3

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$113.33 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier12 claims14 services$46.41 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier15 claims18 services$63.71 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 20

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

Speech-Language Pathologist
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Anesthetist, Certified Registered
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Nurse Practitioner (Primary Care)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Psychologist (Counseling)
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
Family Medicine
3901 RAINBOW BLVD
KANSAS CITY, KS 66160
General Practice
3901 RAINBOW BLVD
KANSAS CITY, KS 66160

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 Edward Toby's NPI number?

The NPI number for Edward Toby is 1518076728. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Edward Toby located?

Edward Toby practices at 3901 Rainbow Blvd Orthopedic Surgery Ms 3017, Kansas City, KS 66160. The listed phone number is (913) 588-6100.

What is Edward Toby's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Edward Toby enrolled in Medicare?

Yes. Edward 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.

What insurance does Edward Toby accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Edward Toby 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 Edward Toby affiliated with any hospitals?

According to CMS data, Edward Toby is affiliated with University Of Ks Hlth System Great Bend Campus, Clara Barton Hospital and Pawnee Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Edward Toby was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.