Active NPI 1780736348 Individual Practitioner Male Practitioner

Dr. John Donald Toth , DO

Orthopaedic Surgery • Gilbert, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Toth, DO is a certified Orthopaedic Surgery practicing in Gilbert, AZ. With approximately 23 years of clinical experience since graduating from Mid West Medical College in 2003, Dr. Toth delivers high-quality medical care to the local community at 1920 N HIGLEY RD STE 206.

Dr. Toth is affiliated with Banner Physician Specialists Arizona Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, x-ray of shoulder, minimum of 2 views, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1920 N Higley Rd Ste 206

Gilbert, AZ 852341624

Telephone 4805436700

Fax 4805436725

Medicare Profile & Education

Medical School

Mid West Medical College

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Gilbert, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +2.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 26.8 Yrs

Regional Practice Density

23 Specialists

Practicing in Gilbert, AZ (501 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toth (23 Years) 23 Yrs

Gilbert Specialty Average (21.0 Years) 21.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	676	149	$2.48	$0.96
73030 X-ray of shoulder, minimum of 2 views	296	251	$83.92	$33.74
20610 Aspiration and/or injection of fluid from large joint	158	151	$167.59	$65.84
99213 Established patient office or other outpatient visit, typically 15 minutes	150	116	$218.35	$88.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$270.86	$107.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	68	$309.50	$123.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$406.55	$163.03
23472 Prosthetic repair of shoulder joint, total shoulder	39	38	$3788.00	$1399.93
29823 Removal of extensive shoulder joint tissue using an endoscope	29	28	$1634.00	$121.74
29827 Repair of shoulder rotator cuff using an endoscope	29	28	$2789.00	$1039.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	28	$456.00	$164.34
29824 Partial removal of collar bone at shoulder using an endoscope	28	27	$1756.00	$203.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$351.00	$126.38
17999 Skin, mucus membrane and beneath the skin procedure	18	17	$552.00	$102.90
29828 Release of shoulder biceps tendon using an endoscope	16	15	$2393.00	$434.76
27245 Treatment of broken neck of thigh bone with bone implant	16	15	$3052.88	$1128.55
73562 X-ray of knee, 3 views	13	12	$100.00	$39.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	804	175	$2.74	$1.07
73030 X-ray of shoulder, minimum of 2 views	292	245	$83.75	$33.73
99213 Established patient office or other outpatient visit, typically 15 minutes	224	165	$171.00	$87.89
20610 Aspiration and/or injection of fluid from large joint	186	178	$169.89	$66.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	182	182	$252.00	$109.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	68	$251.00	$124.56
23472 Prosthetic repair of shoulder joint, total shoulder	31	31	$3788.00	$1409.59
29823 Removal of extensive shoulder joint tissue using an endoscope	29	29	$1634.00	$121.06
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$2789.00	$1045.58
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	29	$456.00	$166.99
29824 Partial removal of collar bone at shoulder using an endoscope	29	29	$1756.00	$203.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$383.00	$162.36
17999 Skin, mucus membrane and beneath the skin procedure	22	22	$552.00	$104.08
29828 Release of shoulder biceps tendon using an endoscope	17	17	$2393.00	$434.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	744	156	$2.99	$1.13
73030 X-ray of shoulder, minimum of 2 views	372	294	$83.81	$33.87
99213 Established patient office or other outpatient visit, typically 15 minutes	266	188	$171.00	$88.87
20610 Aspiration and/or injection of fluid from large joint	210	191	$171.81	$68.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$252.00	$109.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	102	$251.00	$123.92
J1040 Injection, methylprednisolone acetate, 80 mg	47	41	$29.80	$11.61
29827 Repair of shoulder rotator cuff using an endoscope	39	39	$2789.00	$1055.36
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	39	39	$456.00	$170.29
29824 Partial removal of collar bone at shoulder using an endoscope	36	36	$1756.00	$205.80
29823 Removal of extensive shoulder joint tissue using an endoscope	36	36	$1634.00	$122.50
23472 Prosthetic repair of shoulder joint, total shoulder	30	29	$3788.00	$1427.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$383.00	$164.40
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	15	15	$3116.00	$1175.48
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2393.00	$479.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$351.00	$131.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	275	220	$84.00	$33.34
99213 Established patient office or other outpatient visit, typically 15 minutes	159	121	$171.00	$90.07
20610 Aspiration and/or injection of fluid from large joint	156	149	$168.21	$66.01
J1040 Injection, methylprednisolone acetate, 80 mg	153	135	$26.69	$10.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	116	$251.00	$128.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$252.00	$110.35
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	31	31	$456.00	$173.93
29824 Partial removal of collar bone at shoulder using an endoscope	30	30	$1756.00	$221.72
29827 Repair of shoulder rotator cuff using an endoscope	29	29	$2789.00	$1070.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$383.00	$159.19
23472 Prosthetic repair of shoulder joint, total shoulder	27	26	$3788.00	$1405.21
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3203.00	$1227.87
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1634.00	$122.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	249	201	$83.90	$32.13
J1040 Injection, methylprednisolone acetate, 80 mg	173	144	$29.03	$11.49
20610 Aspiration and/or injection of fluid from large joint	165	151	$167.99	$66.26
99213 Established patient office or other outpatient visit, typically 15 minutes	138	106	$171.00	$73.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	125	125	$252.00	$105.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	71	$251.00	$108.12
23472 Prosthetic repair of shoulder joint, total shoulder	31	30	$3788.00	$1473.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$351.00	$138.03
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$456.00	$177.19
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$2789.00	$1082.94
29824 Partial removal of collar bone at shoulder using an endoscope	15	15	$1756.00	$333.33
73562 X-ray of knee, 3 views	13	13	$100.00	$38.45
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3116.00	$1211.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	367	242	$73.00	$29.19
99213 Established patient office or other outpatient visit, typically 15 minutes	262	170	$185.00	$72.27
J1040 Injection, methylprednisolone acetate, 80 mg	162	145	$30.88	$12.02
20610 Aspiration and/or injection of fluid from large joint	160	152	$161.13	$61.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$273.00	$105.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	122	$271.00	$105.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	70	$142.00	$43.81
73562 X-ray of knee, 3 views	50	36	$90.00	$36.34
29827 Repair of shoulder rotator cuff using an endoscope	33	33	$2723.00	$1050.08
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	30	30	$456.00	$175.00
29824 Partial removal of collar bone at shoulder using an endoscope	29	29	$1717.00	$210.95
23472 Prosthetic repair of shoulder joint, total shoulder	24	24	$3760.00	$1447.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$346.00	$135.03
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$1593.00	$158.23
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3088.00	$1189.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$512.00	$199.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	153	$185.00	$71.00
73030 X-ray of shoulder, minimum of 2 views	235	169	$73.00	$28.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	120	120	$273.00	$102.80
20610 Aspiration and/or injection of fluid from large joint	115	105	$156.64	$58.88
J1040 Injection, methylprednisolone acetate, 80 mg	106	92	$31.08	$12.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	87	$271.00	$103.21
73562 X-ray of knee, 3 views	58	54	$90.00	$33.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$141.50	$41.82
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$3760.00	$1393.85
29824 Partial removal of collar bone at shoulder using an endoscope	16	15	$1717.00	$311.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$346.00	$134.78
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	14	$456.00	$175.35
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$2723.00	$940.46
27447 Replacement of knee joint, both sides of knee	12	12	$3501.00	$1276.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$512.00	$199.99
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$3177.00	$1223.12
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3088.00	$1188.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	171	112	$184.26	$71.51
73030 X-ray of shoulder, minimum of 2 views	157	111	$73.00	$28.51
20610 Aspiration and/or injection of fluid from large joint	109	83	$155.39	$56.49
J1040 Injection, methylprednisolone acetate, 80 mg	104	77	$24.50	$11.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$273.00	$104.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	70	$271.00	$102.60
73562 X-ray of knee, 3 views	40	35	$90.00	$35.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$346.00	$135.08
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$257.00	$100.01
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	19	19	$3088.00	$1193.33
73502 X-ray of hip, 2-3 views	18	16	$104.00	$40.84
27245 Treatment of broken neck of thigh bone with bone implant	15	14	$3177.00	$1202.80
73560 X-ray of knee, 1-2 views	13	11	$78.00	$30.32
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$3760.00	$1453.22

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0102202195

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1780736348 (VA)

Hospital & Practice Group Affiliations

Banner Physician Specialists Arizona Llc

6644 E Baywood Ave, Mesa, AZ 852061747

Phone: 4803212000

Banner Physician Specialists Arizona Llc

9165 W Thunderbird Rd, Peoria, AZ 853814847

Phone: 6232851120

Banner Physician Specialists Arizona Llc

1400 S Dobson Rd, Mesa, AZ 852024707

Phone: 4804123000

Banner Physician Specialists Arizona Llc

10401 W Thunderbird Blvd, Sun City, AZ 853513004

Phone: 6238324000

Banner Physician Specialists Arizona Llc

1920 N Higley Rd, Gilbert, AZ 852341624

Phone: 4805436700

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. John Crothers , MD

Orthopaedic Surgery

NPI 1033189980

Doctor of Medicine (M.D.)

Dr. Ryan Neeley , DO

Orthopaedic Surgery - Sports Medicine

NPI 1053738229

Doctor of Osteopathic Medicine (D.O.)

David Whatcott , PA-C

Physician Assistant - Surgical

NPI 1073859450

Physician Assistant (Certified)

Dr. Daniel Arrhenius , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1205065893

Doctor of Podiatric Medicine

Natalia Desrosiers

Orthopaedic Surgery

NPI 1275248171

Dr. Broderick Howard , DO

Family Medicine - Sports Medicine

NPI 1396183158

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2015

Registered at 1920 N HIGLEY RD STE 206, GILBERT, AZ 852341624 (Tel: 4805436700)

📍

Updated Business Mailing Address April 17, 2015

Registered at 1920 N HIGLEY RD STE 206, GILBERT, AZ 852341624 (Tel: 4805436700)

👤

Provider Name / Credentials Updated April 17, 2015

Recorded as JOHN TOTH, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Orthopaedic Surgery (License #0102202195 in VA)

🟢

Initial NPI Registration & Enumeration January 16, 2007

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: 1780736348

Entity Type:

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

Enumeration Date: January 16, 2007

Last Update: April 17, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1920 N Higley Rd Ste 206

Gilbert, AZ 852341624

Phone: 4805436700

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.