CHRISTOPHER A TOTH D.P.M.
NPI 1659479541
Podiatrist in Biddeford, ME

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
46 BARRA RD STE 101, BIDDEFORD, ME 04005(207) 294-8230 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christopher A Toth D.p.m. NPPES

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

CHRISTOPHER A TOTH D.P.M. (NPI 1659479541) is an individual podiatrist in Biddeford, Maine, licensed in Maine (POD1039) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kennebunk, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1659479541
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameCHRISTOPHER A TOTHCredential: D.P.M.
Location Address46 BARRA RD STE 101Biddeford, ME 04005-9461
Mailing Address2 Livewell Dr, The Medical Group Dept. Of Goodall HospitalKennebunk, ME 04043 · (207) 985-7174 · Fax (207) 985-7228
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 21, 2006
Last NPPES UpdateApril 1, 2019
NPI 1659479541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in ME · POD1039
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
46 BARRA RD STE 101, Biddeford, ME 04005

Secondary Practice Location 1

Location 12 Livewell Dr, The Medical Group Dept. of Goodall HospitalKennebunk, ME 04043 · Phone (207) 985-7174 · Fax (207) 985-7228

Other Identifiers 1

Other1659479541ME · Individual Npi

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

Christopher A Toth D.p.m. 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 ID1052385945
PECOS Enrollment IDI20220211001454
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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
160 services34 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
151 services105 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.
119 services119 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
88 services63 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.
70 services59 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.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier12 claims12 services$248.41 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 5

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

Physician Assistant
46 BARRA RD STE 101
BIDDEFORD, ME 04005
Psychiatry & Neurology (Neurology)
46 BARRA RD STE 101
BIDDEFORD, ME 04005
Psychiatry & Neurology (Clinical Neurophysiology)
46 BARRA RD STE 101
BIDDEFORD, ME 04005
Physician Assistant (Medical)
46 BARRA RD STE 101
BIDDEFORD, ME 04005
Nurse Practitioner (Family)
46 BARRA RD STE 101
BIDDEFORD, ME 04005

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 Christopher Toth's NPI number?

The NPI number for Christopher Toth is 1659479541. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Christopher Toth located?

Christopher Toth practices at 46 Barra Rd Ste 101, Biddeford, ME 04005. The listed phone number is (207) 294-8230.

What is Christopher Toth's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Christopher Toth enrolled in Medicare?

Yes. Christopher 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 Christopher Toth accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Christopher 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.

When was this NPI record last updated?

The NPPES record for Christopher Toth was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.