KYLE MATTHEW TOTH DO
NPI 1730748385
Hospitalist in Columbus, OH

Active since June 07, 2019PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
5100 W BROAD ST, COLUMBUS, OH 43228(614) 544-2058(614) 544-2444 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, May 24, 2022, Jun 7, 2019 (3 updates tracked since 2019).

About Kyle Matthew Toth Do NPPES

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

KYLE MATTHEW TOTH DO (NPI 1730748385) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (34.016433) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and is a graduate of Ohio University, College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1730748385
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKYLE MATTHEW TOTHCredential: DO
Location Address5100 W BROAD STColumbus, OH 43228-1607
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(614) 544-2444
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 7, 2019
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1730748385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 34.016433
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
5100 W BROAD ST, Columbus, OH 43228

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

Kyle Matthew Toth Do 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 ID4789912973
PECOS Enrollment IDI20230628000651
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.

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.
191 services187 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.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
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.

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · 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 43228 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Nurse Practitioner (Family)
5100 W BROAD ST
COLUMBUS, OH 43228
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Nurse Practitioner (Family)
5100 W BROAD ST
COLUMBUS, OH 43228
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228

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 Kyle Toth's NPI number?

The NPI number for Kyle Toth is 1730748385. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Kyle Toth located?

Kyle Toth practices at 5100 W Broad St, Columbus, OH 43228. The listed phone number is (614) 544-2058.

What is Kyle Toth's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kyle Toth enrolled in Medicare?

Yes. Kyle 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 Kyle Toth accept?

Health plans from CareSource list Kyle 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 Kyle Toth affiliated with any hospitals?

According to CMS data, Kyle Toth is affiliated with Grant Medical Center, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Toth was last updated on August 22, 2023. 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.