Active NPI 1639249956 Individual Practitioner Male Practitioner

J S Toder

Internal Medicine - Rheumatology • Johnston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

J Toder is a certified Internal Medicine - Rheumatology practicing in Johnston, RI. With approximately 47 years of clinical experience since graduating from Albany Medical College Of Union University in 1979, J Toder delivers high-quality medical care to the local community at 1524 ATWOOD AVE.

J Toder is affiliated with Toder Rheumatology And Osteoporosis Center, P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1524 Atwood Ave

Johnston, RI 029193228

Telephone 4014216011

Fax 4014219088

Associated Practice Facility / Clinic

🏢 Ophthalmic Surgeons, Ltd Facility NPI 1518952258

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Rheumatology in Johnston, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Johnston, RI (30 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Toder (47 Years) 47 Yrs

Johnston Specialty Average (47.0 Years) 47.0 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
J0897 Injection, denosumab, 1 mg	6,180	74	$34.00	$25.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	74	$100.00	$13.42
99213 Established patient office or other outpatient visit, typically 15 minutes	79	60	$196.00	$84.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	44	$228.00	$119.91
77080 Dxa bone density measurement of hip, pelvis, spine	45	45	$275.00	$35.76
96413 Infusion of chemotherapy into a vein up to 1 hour	16	16	$320.00	$123.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	8,820	88	$34.00	$23.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	148	89	$99.69	$14.45
99213 Established patient office or other outpatient visit, typically 15 minutes	138	97	$196.00	$91.31
77080 Dxa bone density measurement of hip, pelvis, spine	66	66	$275.00	$39.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	43	$228.00	$130.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$250.00	$169.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	36,354	13	$12.00	$5.74
J0897 Injection, denosumab, 1 mg	10,680	101	$34.00	$21.57
J1602 Injection, golimumab, 1 mg, for intravenous use	6,415	13	$72.00	$15.19
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	6,025	12	$90.00	$43.80
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,912	16	$267.00	$37.02
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	678	13	$227.00	$50.77
99213 Established patient office or other outpatient visit, typically 15 minutes	321	190	$196.00	$94.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	227	107	$90.27	$14.91
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	199	50	$225.00	$71.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	143	$228.00	$132.75
96413 Infusion of chemotherapy into a vein up to 1 hour	73	27	$320.00	$145.26
96415 Administration of chemotherapy into vein, each additional hour	63	19	$125.00	$30.74
J3489 Injection, zoledronic acid, 1 mg	55	11	$208.00	$6.44
77080 Dxa bone density measurement of hip, pelvis, spine	47	47	$275.00	$39.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$250.00	$173.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$225.00	$116.69
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$196.00	$93.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	37,658	11	$12.02	$5.51
J1602 Injection, golimumab, 1 mg, for intravenous use	11,158	17	$72.00	$17.31
J0897 Injection, denosumab, 1 mg	10,380	102	$34.00	$20.60
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	8,150	14	$90.00	$53.53
J1745 Injection, infliximab, excludes biosimilar, 10 mg	4,028	22	$267.00	$41.98
99213 Established patient office or other outpatient visit, typically 15 minutes	480	287	$196.00	$95.08
96413 Infusion of chemotherapy into a vein up to 1 hour	239	60	$320.23	$154.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	226	106	$89.42	$14.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	116	$228.00	$131.97
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	121	49	$226.86	$76.87
96415 Administration of chemotherapy into vein, each additional hour	98	26	$124.99	$32.69
77080 Dxa bone density measurement of hip, pelvis, spine	84	84	$275.00	$40.36
J3489 Injection, zoledronic acid, 1 mg	55	11	$208.00	$9.67
99442 Telephone medical discussion with physician, 11-20 minutes	43	40	$196.00	$95.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$225.00	$117.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$250.00	$169.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1602 Injection, golimumab, 1 mg, for intravenous use	12,302	16	$72.00	$19.76
J0897 Injection, denosumab, 1 mg	10,384	96	$33.79	$19.47
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	9,725	17	$90.00	$55.93
J1745 Injection, infliximab, excludes biosimilar, 10 mg	3,840	24	$267.00	$52.05
99213 Established patient office or other outpatient visit, typically 15 minutes	391	260	$196.00	$77.93
96413 Infusion of chemotherapy into a vein up to 1 hour	255	66	$320.00	$148.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	184	100	$98.25	$14.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	129	$228.00	$112.00
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	116	47	$225.00	$75.06
96415 Administration of chemotherapy into vein, each additional hour	108	29	$125.00	$31.78
99442 Telephone medical discussion with physician, 11-20 minutes	100	87	$196.00	$77.71
J3489 Injection, zoledronic acid, 1 mg	95	19	$73.00	$10.89
77080 Dxa bone density measurement of hip, pelvis, spine	61	61	$275.00	$41.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$250.00	$171.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1602 Injection, golimumab, 1 mg, for intravenous use	12,900	15	$72.69	$21.98
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	12,325	16	$86.31	$52.31
J0897 Injection, denosumab, 1 mg	9,964	102	$33.99	$18.63
J1745 Injection, infliximab, excludes biosimilar, 10 mg	4,320	23	$242.21	$68.27
99213 Established patient office or other outpatient visit, typically 15 minutes	723	369	$196.00	$76.72
96413 Infusion of chemotherapy into a vein up to 1 hour	366	76	$333.77	$147.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	256	179	$228.00	$110.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	176	104	$98.69	$17.36
77080 Dxa bone density measurement of hip, pelvis, spine	103	103	$275.00	$41.73
J3489 Injection, zoledronic acid, 1 mg	85	17	$494.94	$11.62
96415 Administration of chemotherapy into vein, each additional hour	80	26	$124.63	$31.84
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	68	32	$229.41	$75.01
J7050 Infusion, normal saline solution, 250 cc	63	29	$25.00	$0.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$250.00	$170.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$225.00	$112.27
20610 Aspiration and/or injection of fluid from large joint	16	14	$200.00	$62.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1602 Injection, golimumab, 1 mg, for intravenous use	11,759	12	$60.44	$23.76
J0897 Injection, denosumab, 1 mg	9,304	93	$33.99	$17.90
J0129 Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)	9,162	16	$60.27	$49.40
J1745 Injection, infliximab, excludes biosimilar, 10 mg	4,470	23	$133.40	$81.56
99213 Established patient office or other outpatient visit, typically 15 minutes	769	398	$196.00	$75.23
96413 Infusion of chemotherapy into a vein up to 1 hour	387	56	$376.00	$149.16
J7050 Infusion, normal saline solution, 250 cc	303	35	$25.00	$0.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	170	$227.80	$109.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	159	94	$100.00	$21.41
J3489 Injection, zoledronic acid, 1 mg	135	27	$500.00	$13.93
96415 Administration of chemotherapy into vein, each additional hour	125	24	$124.00	$32.54
77080 Dxa bone density measurement of hip, pelvis, spine	102	102	$275.00	$43.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$225.00	$108.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$250.00	$166.69
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	27	27	$300.00	$76.38
20610 Aspiration and/or injection of fluid from large joint	19	16	$200.00	$63.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$140.00	$45.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1602 Injection, golimumab, 1 mg, for intravenous use	13,014	12	$50.00	$24.32
J0897 Injection, denosumab, 1 mg	8,341	83	$34.00	$16.60
J1745 Injection, infliximab, excludes biosimilar, 10 mg	4,730	20	$123.00	$83.84
99213 Established patient office or other outpatient visit, typically 15 minutes	722	389	$192.81	$74.86
96413 Infusion of chemotherapy into a vein up to 1 hour	364	49	$373.12	$143.63
J7050 Infusion, normal saline solution, 250 cc	316	34	$25.00	$0.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	174	$226.21	$108.20
96415 Administration of chemotherapy into vein, each additional hour	132	21	$121.73	$29.42
77080 Dxa bone density measurement of hip, pelvis, spine	123	122	$275.00	$42.05
J3489 Injection, zoledronic acid, 1 mg	120	24	$500.00	$12.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	113	80	$100.00	$26.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$222.78	$111.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$247.22	$164.65
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	28	27	$166.07	$77.51
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	24	24	$300.00	$72.00
20610 Aspiration and/or injection of fluid from large joint	20	14	$195.00	$61.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$140.00	$45.07

Medical Specialties & State Licenses

Internal Medicine - Rheumatology Primary Specialty

NUCC Taxonomy Code: 207RR0500X

State License RI MD6321

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9000426 (RI)

Commercial Insurance / Payer ID Neighborhood Health

1136

Commercial Insurance / Payer ID United Health Care

3200105

Commercial Insurance / Payer ID Healthnet

R10981

Commercial Insurance / Payer ID Blue Chip

002267

Commercial Insurance / Payer ID Ri Bc

4268

Commercial Insurance / Payer ID Tufts

774339

Hospital & Practice Group Affiliations

Toder Rheumatology And Osteoporosis Center, P.c.

1524 Atwood Ave, Johnston, RI 029193228

Phone: 4014216011

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kiley Toder , MD

Internal Medicine

NPI 1063640225

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 December 03, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2007

Registered at 1524 ATWOOD AVE, JOHNSTON, RI 029193228 (Tel: 4014216011)

📍

Updated Business Mailing Address December 03, 2007

Registered at PO BOX 6300, PROVIDENCE, RI 029406300 (Tel: 4014216011)

👤

Provider Name / Credentials Updated December 03, 2007

Recorded as J TODER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2007

Internal Medicine (License #MD6321 in RI)

🟢

Initial NPI Registration & Enumeration November 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: 1639249956

Entity Type:

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

Enumeration Date: November 08, 2006

Last Update: December 03, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6300

Providence, RI 029406300

Phone: 4014216011

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.