Active NPI 1063640225 Individual Practitioner Female Practitioner

Dr. Kiley Toder , MD

Internal Medicine • Johnston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kiley Toder, MD is a certified Internal Medicine practicing in Johnston, RI. With approximately 17 years of clinical experience since graduating from Albany Medical College Of Union University in 2009, Dr. Toder delivers high-quality medical care to the local community at 1524 ATWOOD AVE.

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

Frequently performed procedures and clinical services include injection, tocilizumab, 1 mg, injection, certolizumab pegol, 1 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), injection, golimumab, 1 mg, for intravenous use. 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
Suite 333

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

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Johnston, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -6.3 yrs vs City Avg

City Avg: 23.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Johnston, RI (1079 Statewide)

Telehealth Adoption Rate

44.4% 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 (17 Years) 17 Yrs

Johnston Specialty Average (23.3 Years) 23.3 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
J3262 Injection, tocilizumab, 1 mg	60,984	11	$12.00	$5.92
J0717 Injection, certolizumab pegol, 1 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)	41,600	11	$18.00	$4.54
J1602 Injection, golimumab, 1 mg, for intravenous use	18,550	18	$72.00	$11.47
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)	12,100	19	$90.00	$42.55
J0897 Injection, denosumab, 1 mg	6,300	74	$34.00	$25.76
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	3,003	15	$227.00	$29.37
99213 Established patient office or other outpatient visit, typically 15 minutes	451	240	$196.00	$91.05
96413 Infusion of chemotherapy into a vein up to 1 hour	423	72	$320.00	$131.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	218	$228.00	$128.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	150	79	$86.20	$14.45
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	138	11	$115.00	$72.75
96415 Administration of chemotherapy into vein, each additional hour	113	27	$125.00	$27.95
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	95	32	$225.00	$63.43
J3489 Injection, zoledronic acid, 1 mg	95	19	$208.00	$6.31
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	$106.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	63,576	15	$12.00	$5.90
J1602 Injection, golimumab, 1 mg, for intravenous use	15,350	19	$72.00	$13.20
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)	10,450	17	$90.00	$42.32
J0897 Injection, denosumab, 1 mg	4,980	54	$34.00	$23.30
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	3,760	17	$227.00	$37.23
99213 Established patient office or other outpatient visit, typically 15 minutes	467	254	$196.00	$91.86
96413 Infusion of chemotherapy into a vein up to 1 hour	341	60	$320.00	$135.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	285	181	$228.00	$129.69
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	146	39	$225.00	$66.23
96415 Administration of chemotherapy into vein, each additional hour	120	25	$125.00	$29.07
J3489 Injection, zoledronic acid, 1 mg	120	24	$208.00	$8.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	57	$90.80	$14.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$250.00	$169.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	30,086	16	$12.00	$5.89
J1602 Injection, golimumab, 1 mg, for intravenous use	3,684	11	$72.00	$14.34
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)	3,375	12	$90.00	$42.96
J0897 Injection, denosumab, 1 mg	2,220	23	$34.00	$21.67
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	1,363	18	$227.00	$48.74
99213 Established patient office or other outpatient visit, typically 15 minutes	315	174	$196.00	$93.73
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	122	50	$225.00	$71.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	86	$228.00	$132.20
J3489 Injection, zoledronic acid, 1 mg	85	17	$208.00	$7.66
96413 Infusion of chemotherapy into a vein up to 1 hour	85	43	$320.00	$144.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	28	$75.82	$14.89
96415 Administration of chemotherapy into vein, each additional hour	58	22	$125.00	$30.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$225.00	$112.13
99442 Telephone medical discussion with physician, 11-20 minutes	19	17	$196.00	$90.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3262 Injection, tocilizumab, 1 mg	24,372	13	$12.00	$5.52
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)	2,575	11	$90.00	$47.63
J0897 Injection, denosumab, 1 mg	1,980	20	$34.00	$20.66
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,390	16	$267.00	$41.57
99213 Established patient office or other outpatient visit, typically 15 minutes	228	127	$196.00	$95.34
96413 Infusion of chemotherapy into a vein up to 1 hour	92	39	$320.00	$154.94
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	65	34	$225.00	$76.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	24	$88.50	$14.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	31	$228.00	$133.90
96415 Administration of chemotherapy into vein, each additional hour	42	18	$125.00	$32.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$225.00	$117.35
99442 Telephone medical discussion with physician, 11-20 minutes	30	27	$196.00	$93.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$250.00	$175.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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)	2,650	14	$90.00	$55.64
J0897 Injection, denosumab, 1 mg	1,500	15	$34.00	$19.66
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,210	19	$267.00	$54.88
99213 Established patient office or other outpatient visit, typically 15 minutes	148	96	$196.00	$77.58
96413 Infusion of chemotherapy into a vein up to 1 hour	69	39	$320.00	$148.74
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	48	26	$225.00	$75.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	33	$228.00	$111.03
96415 Administration of chemotherapy into vein, each additional hour	34	19	$125.00	$31.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$225.00	$110.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	17	$92.33	$14.93
99442 Telephone medical discussion with physician, 11-20 minutes	24	21	$196.00	$78.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$250.00	$157.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,260	13	$34.00	$18.66
99213 Established patient office or other outpatient visit, typically 15 minutes	266	121	$196.00	$75.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	40	$228.00	$111.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$225.00	$107.26
96413 Infusion of chemotherapy into a vein up to 1 hour	40	14	$329.80	$147.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	14	$96.00	$17.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	960	11	$34.00	$17.86
99213 Established patient office or other outpatient visit, typically 15 minutes	209	101	$196.00	$75.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$225.00	$107.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$228.00	$111.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	16	11	$100.00	$21.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	216	108	$193.92	$73.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$222.79	$111.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	21	$226.08	$110.63

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI LP01714

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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

J Toder

Internal Medicine - Rheumatology

NPI 1639249956

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2015

Registered at 1524 ATWOOD AVE, SUITE 333, JOHNSTON, RI 029193228 (Tel: 4014216011)

📍

Updated Business Mailing Address December 22, 2015

Registered at 1524 ATWOOD AVE, SUITE 333, JOHNSTON, RI 029193228 (Tel: 4014216011)

👤

Provider Name / Credentials Updated December 22, 2015

Recorded as KILEY TODER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2015

Internal Medicine (License #LP01714 in RI)

🟢

Initial NPI Registration & Enumeration June 26, 2009

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: 1063640225

Entity Type:

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

Enumeration Date: June 26, 2009

Last Update: December 22, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1524 Atwood Ave, Suite 333

Johnston, RI 029193228

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.