ANDREW L TOTH MD
NPI 1659393924
Family Medicine in Wenatchee, WA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
820 N CHELAN AVE, WENATCHEE, WA 98801(509) 663-8711 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew L Toth Md NPPES

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

ANDREW L TOTH MD (NPI 1659393924) is an individual family medicine provider in Wenatchee, Washington, licensed in Washington (MD00036671) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Loma Linda University School Of Medicine (1996).

NPPES Registry Identity

NPI1659393924
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW L TOTHCredential: MD
Location Address820 N CHELAN AVEWenatchee, WA 98801-2028
Mailing Address820 N Chelan AveWenatchee, WA 98801-2028
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1996
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
NPI 1659393924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00036671
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
820 N CHELAN AVE, Wenatchee, WA 98801

Other Identifiers 2

Other126419WA · L&i
Medicaid8239055WA

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

Andrew L Toth Md 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 ID5991765141
PECOS Enrollment IDI20041013000325
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.

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.
154 services66 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.
134 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500016
Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98801 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers35 claims35 services$63.27 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers22 claims22 services$31.09 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.

Physical Therapist
820 N CHELAN AVE
WENATCHEE, WA 98801
Pharmacist
820 N CHELAN AVE
WENATCHEE, WA 98801
Pathology (Anatomic Pathology & Clinical Pathology)
820 N CHELAN AVE
WENATCHEE, WA 98801
Physical Medicine & Rehabilitation
820 N CHELAN AVE
WENATCHEE, WA 98801
Pharmacist
820 N CHELAN AVE
WENATCHEE, WA 98801
Pathology (Clinical Pathology/Laboratory Medicine)
820 N CHELAN AVE
WENATCHEE, WA 98801
Physician Assistant
820 N CHELAN AVE
WENATCHEE, WA 98801
Pediatrics (Developmental - Behavioral Pediatrics)
820 N CHELAN AVE
WENATCHEE, WA 98801

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 Andrew Toth's NPI number?

The NPI number for Andrew Toth is 1659393924. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Andrew Toth located?

Andrew Toth practices at 820 N Chelan Ave, Wenatchee, WA 98801. The listed phone number is (509) 663-8711.

What is Andrew Toth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Toth enrolled in Medicare?

Yes. Andrew 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 Andrew Toth accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew 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 Andrew Toth affiliated with any hospitals?

According to CMS data, Andrew Toth is affiliated with Confluence Health Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Toth was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.