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RICHARD TOTH
NPI 1841641529
Family Medicine in Elizabeth, PA

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
300 SCENERY DR, ELIZABETH, PA 15037(412) 751-4661 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2021, Jun 29, 2020, Oct 28, 2019 and 1 more (4 updates tracked since 2016).

About Richard Toth NPPES

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

RICHARD TOTH (NPI 1841641529) is an individual family medicine provider in Elizabeth, Pennsylvania, licensed in Pennsylvania (OS020266) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1841641529
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRICHARD TOTH
Location Address300 SCENERY DRElizabeth, PA 15037-2068
Mailing Address300 Scenery DrElizabeth, PA 15037-2068
Phone(412) 751-4661
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateMay 24, 20214 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
✔ NPI 1841641529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS020266
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.
300 SCENERY DR, Elizabeth, PA 15037
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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

Richard Toth 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 ID5991090847
PECOS Enrollment IDI20191211000339
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 4

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.
171 services85 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.
66 services48 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services27 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15037 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier11 claims11 services$5.27 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
2 suppliers18 claims20 services$67.75 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 8

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

EDWARD GORALCZYK
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 751-4661
MRS. ALMA ELIZABETH OLSON CRNP
Nurse Practitioner (Family)
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 751-4661
MRS. PATRICIA L SZABO CRNP
Nurse Practitioner (Family)
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 751-4661
UPMC COMMUNITY MEDICINE INC
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 647-3087
ELIZABETH TOWNSHIP FAMILY MEDICINE, PC
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 751-4661
DOUGLAS SKINNER
Family Medicine
300 SCENERY DR, ELIZABETH TOWNSHIP FAMILY MEDICINE PC
ELIZABETH, PA 15037
Allegheny County (412) 751-4661
LUNA CHEN DO
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 751-4661
UPMC COMMUNITY MEDICINE INC
Non-Pharmacy Dispensing Site
300 SCENERY DR
ELIZABETH, PA 15037
Allegheny County (412) 751-4661

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 Richard Toth's NPI number?

The NPI number for Richard Toth is 1841641529. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Richard Toth located?

Richard Toth practices at 300 Scenery Dr, Elizabeth, PA 15037. The listed phone number is (412) 751-4661.

What is Richard Toth's specialty?

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

Is Richard Toth enrolled in Medicare?

Yes. Richard 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.

Is Richard Toth affiliated with any hospitals?

According to CMS data, Richard Toth is affiliated with Upmc Mckeesport Hospital, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Richard Toth was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.