J S TODER
NPI 1639249956
Internal Medicine - Rheumatology in Johnston, RI

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
1524 ATWOOD AVE, JOHNSTON, RI 02919(401) 421-6011(401) 421-9088 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About J S Toder NPPES

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

J S TODER (NPI 1639249956) is an individual rheumatology provider in Johnston, Rhode Island, licensed in Rhode Island (MD6321) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and is a graduate of Albany Medical College Of Union University (1979).

NPPES Registry Identity

NPI1639249956
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameJ S TODER
Location Address1524 ATWOOD AVEJohnston, RI 02919-3228
Mailing AddressPo Box 6300Providence, RI 02940-6300 · (401) 421-6011 · Fax (401) 421-9088
Fax(401) 421-9088
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1979
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 3, 2007
NPI 1639249956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in RI · MD6321
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1524 ATWOOD AVE, Johnston, RI 02919

Other Names 1

Professional Name (2)Dr. J Scott Toder M.d.

Other Identifiers 8

Other002267Blue Chip
Other3200105United Health Care
Other4268Ri Bc
Medicaid9000426RI
Other774339Tufts
Other1136Neighborhood Health
OtherR10981Healthnet
Medicare UPINC90023RI

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

J S Toder 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 ID3779668629
PECOS Enrollment IDI20080317000525
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 6

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
6,180 services74 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
103 services74 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.
79 services60 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.
50 services44 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
45 services45 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02919 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
1524 ATWOOD AVE
JOHNSTON, RI 02919
Ophthalmology
1524 ATWOOD AVE
JOHNSTON, RI 02919
Physical Therapist
1524 ATWOOD AVE, DBA/ROBERT BUONANNO
JOHNSTON, RI 02919
Internal Medicine
1524 ATWOOD AVE, SUITE 333
JOHNSTON, RI 02919
Internal Medicine (Hematology & Oncology)
1524 ATWOOD AVE, SUITE340
JOHNSTON, RI 02919
Nurse Practitioner (Family)
1524 ATWOOD AVE
JOHNSTON, RI 02919
Internal Medicine (Cardiovascular Disease)
1524 ATWOOD AVE, SUITE 226
JOHNSTON, RI 02919
Psychologist (Clinical)
1524 ATWOOD AVE, STE. NO. 433
JOHNSTON, RI 02919

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 J Toder's NPI number?

The NPI number for J Toder is 1639249956. It was assigned to this individual provider in the NPPES registry on November 8, 2006. The provider is also known as Dr. J Scott Toder M.D..

Where is J Toder located?

J Toder practices at 1524 Atwood Ave, Johnston, RI 02919. The listed phone number is (401) 421-6011.

What is J Toder's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is J Toder enrolled in Medicare?

Yes. J Toder 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.

Is J Toder affiliated with any hospitals?

According to CMS data, J Toder is affiliated with Our Lady Of Fatima Hospital, Kent County Memorial Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for J Toder was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.