Active NPI 1982644720 Individual Practitioner Female Practitioner

Dr. Alison P Toth , MD

Orthopaedic Surgery • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alison Toth, MD is a certified Orthopaedic Surgery practicing in Durham, NC. With approximately 32 years of clinical experience since graduating from Duke University School Of Medicine in 1994, Dr. Toth delivers high-quality medical care to the local community at 4101 N ROXBORO ST.

Dr. Toth is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, anchoring of biceps tendon. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4101 N Roxboro St

Durham, NC 277042121

Telephone 9196848111

Associated Practice Facility / Clinic

🏢 Duke University Health System, Inc. Facility NPI 1821094509

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

84 Specialists

Practicing in Durham, NC (1019 Statewide)

Telehealth Adoption Rate

13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toth (32 Years) 32 Yrs

Durham Specialty Average (22.0 Years) 22.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	96	50	$172.00	$83.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	53	$255.00	$120.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$390.00	$156.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	51	$172.00	$85.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	59	$255.00	$117.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$390.00	$158.00
23430 Anchoring of biceps tendon	13	13	$2537.00	$353.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	86	48	$172.00	$83.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	63	$255.00	$122.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$390.00	$161.29
23430 Anchoring of biceps tendon	12	12	$2537.00	$391.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	61	$172.00	$86.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	88	$255.00	$121.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$390.00	$163.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	72	$172.00	$70.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	56	$255.00	$100.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$390.00	$159.64
29823 Removal of extensive shoulder joint tissue using an endoscope	14	14	$2401.00	$335.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	195	97	$172.00	$71.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	107	$255.00	$102.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$390.00	$159.21
29823 Removal of extensive shoulder joint tissue using an endoscope	18	18	$2401.00	$292.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	140	76	$162.09	$69.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	103	$244.97	$100.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$379.05	$151.40
29823 Removal of extensive shoulder joint tissue using an endoscope	23	21	$2401.00	$271.04
23420 Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone	13	13	$4292.00	$931.73
23430 Anchoring of biceps tendon	11	11	$2537.00	$357.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	142	65	$153.00	$69.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	82	$227.00	$100.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$367.00	$151.86
29823 Removal of extensive shoulder joint tissue using an endoscope	25	24	$2401.00	$254.70
23420 Repair of complete tear of shoulder rotator cuff with release of pressure on collar bone	16	16	$4292.00	$930.20
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$2501.00	$349.65

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

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

89129MM (NC)

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

2301 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Duke Health Integrated Practice Inc

3475 Erwin Rd, Durham, NC 277050005

Phone: 9196848111

Duke Health Integrated Practice Inc

2351 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Nicolas Aeschlimann , MD

Anesthesiology

NPI 1003063116

Doctor of Medicine (M.D.)

Dr. Hongyun Zhu , MD

Radiology - Diagnostic Radiology

NPI 1003094103

Doctor of Medicine (M.D.)

Dr. Wilbur Dattilo , MD

Psychiatry & Neurology - Psychiatry

NPI 1003107483

Doctor of Medicine (M.D.)

Dr. Erin Manning , MD

Anesthesiology

NPI 1003139049

Doctor of Medicine (M.D.)

Dr. Candice Ray , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1003159179

Doctor of Medicine (M.D.)

Dr. Stephen Greene , MD

Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1003170861

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ALISON TOTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery

🟢

Initial NPI Registration & Enumeration June 08, 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: 1982644720

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4101 N Roxboro St

Durham, NC 277042121

Phone: 9196848111

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.