Active NPI 1316029630 Individual Practitioner Female Practitioner

Kellie S. Toth , PHYSICIAN ASSISTANT

Physician Assistant • Daphne, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellie Toth, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Daphne, AL. With approximately 21 years of clinical experience since graduating from University Of South Alabama College Of Medicine in 2005, Kellie Toth delivers high-quality medical care to the local community at 8573 COUNTY ROAD 64.

Kellie Toth is affiliated with Forefront Dermatology Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8573 County Road 64

Daphne, AL 365268706

Telephone 2516212244

Fax 2516217209

Associated Practice Facility / Clinic

🏢 Deep South Dermatology Facility NPI 1710054556

Medicare Profile & Education

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Daphne, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +9.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 9.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Daphne, AL (1153 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toth (21 Years) 21 Yrs

Daphne Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,373	215	$84.00	$5.13
99213 Established patient office or other outpatient visit, typically 15 minutes	530	368	$263.00	$71.29
17000 Destruction of skin growth	395	278	$303.63	$45.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	112	$372.00	$100.35
11102 Tangential biopsy of single skin lesion	149	124	$378.00	$75.08
11103 Biopsy of related skin growth, each additional growth	57	33	$205.00	$38.71
17110 Destruction of up to 14 skin growths	50	45	$419.00	$87.08
17004 Destruction of precancer skin growth, 15 or more growths	40	34	$734.31	$128.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$321.00	$87.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$474.00	$132.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,394	220	$84.00	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	488	352	$263.00	$70.37
17000 Destruction of skin growth	357	265	$303.63	$44.73
11102 Tangential biopsy of single skin lesion	160	139	$378.00	$76.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	133	102	$372.00	$100.05
17004 Destruction of precancer skin growth, 15 or more growths	58	48	$734.31	$127.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$321.00	$86.91
11103 Biopsy of related skin growth, each additional growth	46	28	$205.00	$38.08
17110 Destruction of up to 14 skin growths	34	30	$419.00	$87.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$474.00	$128.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$147.53	$44.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,121	186	$73.88	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	448	321	$188.52	$72.86
17000 Destruction of skin growth	306	233	$303.63	$47.25
11102 Tangential biopsy of single skin lesion	140	123	$286.83	$79.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	82	$273.20	$103.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$291.03	$86.82
17004 Destruction of precancer skin growth, 15 or more growths	68	51	$734.31	$132.62
11103 Biopsy of related skin growth, each additional growth	58	32	$154.71	$38.04
17110 Destruction of up to 14 skin growths	30	24	$341.58	$89.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$351.63	$136.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$147.53	$43.80
69100 Biopsy of ear	16	13	$677.59	$60.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	957	145	$73.88	$5.19
99213 Established patient office or other outpatient visit, typically 15 minutes	349	259	$188.52	$73.89
17000 Destruction of skin growth	238	180	$303.63	$45.37
11102 Tangential biopsy of single skin lesion	134	120	$286.83	$81.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	78	$273.20	$105.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$291.03	$91.36
17004 Destruction of precancer skin growth, 15 or more growths	55	44	$734.31	$133.80
11103 Biopsy of related skin growth, each additional growth	52	30	$154.71	$40.27
17110 Destruction of up to 14 skin growths	34	23	$341.58	$90.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$351.63	$134.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$147.53	$45.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	683	109	$73.88	$4.81
99213 Established patient office or other outpatient visit, typically 15 minutes	282	224	$188.52	$60.30
17000 Destruction of skin growth	173	146	$303.63	$44.75
11102 Tangential biopsy of single skin lesion	95	89	$286.83	$77.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$291.03	$85.92
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$223.46	$61.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$273.20	$86.69
17110 Destruction of up to 14 skin growths	44	33	$341.58	$86.31
17004 Destruction of precancer skin growth, 15 or more growths	40	35	$734.31	$127.26
11103 Biopsy of related skin growth, each additional growth	21	18	$154.71	$42.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,048	159	$73.83	$4.37
99213 Established patient office or other outpatient visit, typically 15 minutes	398	281	$188.29	$58.98
17000 Destruction of skin growth	277	208	$302.89	$43.56
11102 Tangential biopsy of single skin lesion	164	152	$285.98	$75.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	104	$272.11	$86.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$291.03	$85.25
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$221.95	$59.50
17004 Destruction of precancer skin growth, 15 or more growths	70	56	$734.31	$119.63
11103 Biopsy of related skin growth, each additional growth	64	41	$153.54	$41.78
17110 Destruction of up to 14 skin growths	40	28	$341.58	$85.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$147.53	$35.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	697	125	$50.01	$3.98
99213 Established patient office or other outpatient visit, typically 15 minutes	285	214	$141.51	$57.35
17000 Destruction of skin growth	210	168	$200.85	$43.45
99202 New patient office or other outpatient visit, typically 20 minutes	137	137	$151.95	$58.76
11100 Biopsy of single growth of skin and/or tissue	117	111	$239.51	$78.77
17110 Destruction of up to 14 skin growths	62	43	$219.92	$86.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$216.54	$84.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$212.01	$85.35
11101 Biopsy of each additional growth of skin and/or tissue	39	28	$143.55	$25.55
17004 Destruction of precancer skin growth, 15 or more growths	36	29	$649.78	$112.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$88.51	$34.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	373	77	$23.00	$4.14
99213 Established patient office or other outpatient visit, typically 15 minutes	206	178	$98.00	$56.74
99202 New patient office or other outpatient visit, typically 20 minutes	128	128	$101.00	$58.67
17000 Destruction of skin growth	125	105	$100.00	$42.76
11100 Biopsy of single growth of skin and/or tissue	96	95	$156.00	$77.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$148.00	$84.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	38	$145.00	$83.52
17110 Destruction of up to 14 skin growths	39	25	$134.54	$83.40
11101 Biopsy of each additional growth of skin and/or tissue	29	20	$49.00	$25.56
17004 Destruction of precancer skin growth, 15 or more growths	21	18	$430.00	$116.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$59.00	$32.41

Medical Specialties & State Licenses

CMS Verified: 2025-11-17

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AL PA.460

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AL PA-460

Definition to come...

Hospital & Practice Group Affiliations

Forefront Dermatology Sc

8573 County Rd, Daphne, AL 365268706

Phone: 2516212244

Forefront Dermatology Sc

2305 Hand Ave, Bay Minette, AL 365074191

Phone: 2516313570

Forefront Dermatology Sc

580 Providence Park Dr E, Mobile, AL 366954614

Phone: 2516313570

Secondary Practice Locations

2305 Hand Ave

Bay Minette, AL 365074191

Phone: 2516313570

580 Providence Park Dr E

Mobile, AL 366954614

Phone: 2516313570

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Jane Blaum , MD

Specialist

NPI 1063630143

Doctor of Medicine (M.D.)

Dr. Alan Stanford , MD

Dermatology

NPI 1871557348

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location November 17, 2025

Registered at 8573 COUNTY ROAD 64, DAPHNE, AL 365268706 (Tel: 2516212244)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2021

Physician Assistant (License #PA-460 in AL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2019

Physician Assistant (License #PA.460 in AL)

📍

Updated Practice Location July 12, 2018

Registered at 580 PROVIDENCE PARK DR E FL 2, MOBILE, AL 36695 (Tel: (251) 631-3570)

📍

Updated Business Mailing Address July 12, 2018

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206639008)

✅

NPI Profile Active June 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2017

Registered at 580 PROVIDENCE PARK DR E FL 2, MOBILE, AL 366954614 (Tel: (251) 631-3570)

📍

Updated Business Mailing Address June 22, 2017

Registered at 580 PROVIDENCE PARK DR E FL 2, MOBILE, AL 366954614 (Tel: (251) 631-3570)

👤

Provider Name / Credentials Updated June 22, 2017

Recorded as KELLIE TOTH, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Physician Assistant (License #PA-460 in AL)

✅

NPI Profile Active December 10, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2014

Registered at 1855 SPRING HILL AVE, MOBILE, AL 366072301 (Tel: 2514713544)

📍

Updated Business Mailing Address December 10, 2014

Registered at 6550 GARRISON DR, SPANISH FORT, AL 365273183 (Tel: 2515102071)

👤

Provider Name / Credentials Updated December 10, 2014

Recorded as KELLIE TOTH, PHYSICIAN ASSISTANT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2014

Physician Assistant (License #PA-460 in AL)

🟢

Initial NPI Registration & Enumeration October 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316029630

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 19, 2006

Last Update: November 17, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206639008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.