Active NPI 1205284981 Individual Practitioner Male Practitioner

Toby Ostrov , PA

Physician Assistant • Fairfield, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Toby Ostrov, PA is a certified Physician Assistant practicing in Fairfield, ME. With approximately 10 years of clinical experience since completing medical education in 2016, Toby Ostrov delivers high-quality medical care to the local community at 4 SHERIDAN RD.

Toby Ostrov is affiliated with Mainegeneral Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, transitional care management services for problem of high complexity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4 Sheridan Rd

Fairfield, ME 049373314

Telephone 2074533100

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fairfield, ME

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Fairfield, ME (992 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ostrov (10 Years) 10 Yrs

Fairfield Specialty Average (10.0 Years) 10.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	23	$102.88	$76.98
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$69.13	$52.20
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	16	14	$31.00	$13.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	50	$108.27	$78.60
99213 Established patient office or other outpatient visit, typically 15 minutes	56	43	$73.61	$52.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	49	38	$72.00	$54.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	34	$107.00	$79.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	69	50	$72.00	$55.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	36	$107.00	$82.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	72	$72.00	$42.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$107.00	$65.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	131	$72.00	$42.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	60	$107.00	$65.19
99496 Transitional care management services for problem of high complexity	15	14	$384.00	$132.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	127	$72.00	$42.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	70	$107.00	$64.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	145	$66.82	$41.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	84	$102.57	$64.17

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Mainegeneral Medical Center

149 N St, Waterville, ME 04901

Phone: 2078721000

Mainegeneral Medical Center

4 Sheridan Rd, Fairfield, ME 049373314

Phone: 2078729564

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Armand Auger , MD

Family Medicine

NPI 1073527768

Doctor of Medicine (M.D.)

Dr. Kathryn Hoffmann , DO

Family Medicine

NPI 1467763144

Doctor of Osteopathic Medicine (D.O.)

Alissa Dunn , NP

Nurse Practitioner - Family

NPI 1922634419

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 31, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2016

Registered at 4 SHERIDAN RD, FAIRFIELD, ME 049373314 (Tel: 2074533100)

📍

Updated Business Mailing Address October 31, 2016

Registered at 4 SHERIDAN DRIVE, WATERVILLE, ME 04064 (Tel: 2074533100)

👤

Provider Name / Credentials Updated October 31, 2016

Recorded as TOBY OSTROV, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration June 02, 2016

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: 1205284981

Entity Type:

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

Enumeration Date: June 02, 2016

Last Update: October 31, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4 Sheridan Drive

Waterville, ME 04064

Phone: 2074533100

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.