ABBY MARIE TOTH PA-C
NPI 1609431626
Physician Assistant in Columbus, OH

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-5283 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Jun 25, 2020, May 6, 2019 (3 updates tracked since 2019).

About Abby Marie Toth Pa-c NPPES

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

ABBY MARIE TOTH PA-C (NPI 1609431626) is an individual physician assistant in Columbus, Ohio, licensed in Ohio (50.005824RX) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1609431626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABBY MARIE TOTHCredential: PA-C
Location Address3535 OLENTANGY RIVER RDColumbus, OH 43214-3908
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 6, 2019
Last NPPES UpdateFebruary 22, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2024
NPI 1609431626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.005824RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3535 OLENTANGY RIVER RD, Columbus, OH 43214

Other Names 1

Former Name (1)Abby Cramer

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

Abby Marie Toth Pa-c 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 ID3173953916
PECOS Enrollment IDI20200420001469
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
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.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Pathology (Anatomic Pathology & Clinical Pathology)
3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Medicare Defined Swing Bed Unit
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

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 Abby Toth's NPI number?

The NPI number for Abby Toth is 1609431626. It was assigned to this individual provider in the NPPES registry on May 6, 2019. The provider is also known as Abby Cramer.

Where is Abby Toth located?

Abby Toth practices at 3535 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-5283.

What is Abby Toth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Abby Toth enrolled in Medicare?

Yes. Abby 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 Abby Toth accept?

Health plans from CareSource and MedMutual list Abby 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 Abby Toth affiliated with any hospitals?

According to CMS data, Abby Toth is affiliated with Riverside Methodist Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Abby Toth was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.