Active NPI 1861702268 Individual Practitioner Female Practitioner

Sandra Lyn Toensing , PA-C

Physician Assistant • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Sandra Toensing, PA-C is a registered healthcare professional specializing in Physician Assistant in Roanoke, VA. Practice services are available at 3 RIVERSIDE CIR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of ear using a microscope, eardrum testing using ear probe. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Riverside Cir

Roanoke, VA 240164955

Telephone 5402245170

Fax 5409838214

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1982908547

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roanoke, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.4 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

301 Specialists

Practicing in Roanoke, VA (4432 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	75	59	$160.73	$105.01
92504 Exam of ear using a microscope	68	51	$87.00	$23.74
92567 Eardrum testing using ear probe	51	44	$53.00	$13.37
92557 Comprehensive hearing and speech recognition test	42	39	$152.00	$29.83
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	38	34	$160.00	$27.09
99213 Established patient office or other outpatient visit, typically 15 minutes	36	33	$120.50	$74.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$274.00	$136.90
31231 Diagnostic examination of nasal passages using an endoscope	21	17	$360.00	$152.43
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	17	17	$89.00	$42.48
31575 Diagnostic exam of voice box using a flexible endoscope	17	15	$353.00	$102.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	370	23	$40.00	$12.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	109	$158.00	$105.14
92504 Exam of ear using a microscope	161	107	$87.00	$23.85
99213 Established patient office or other outpatient visit, typically 15 minutes	105	77	$119.00	$74.95
92557 Comprehensive hearing and speech recognition test	89	79	$152.00	$29.98
92567 Eardrum testing using ear probe	86	78	$53.00	$13.47
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	81	76	$160.00	$27.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$274.00	$138.32
31231 Diagnostic examination of nasal passages using an endoscope	76	38	$360.00	$159.62
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	63	51	$89.00	$43.08
31575 Diagnostic exam of voice box using a flexible endoscope	48	28	$353.00	$100.08

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	105	69	$158.00	$108.20
92504 Exam of ear using a microscope	85	64	$87.00	$24.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$274.00	$139.72
92567 Eardrum testing using ear probe	73	66	$53.00	$13.83
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	67	49	$89.00	$43.45
92557 Comprehensive hearing and speech recognition test	62	59	$152.00	$31.13
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	61	58	$160.00	$28.08
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$119.00	$75.44
31231 Diagnostic examination of nasal passages using an endoscope	40	33	$349.00	$163.73
31575 Diagnostic exam of voice box using a flexible endoscope	22	17	$353.00	$111.12

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	141	48	$154.88	$110.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$274.00	$143.44
92504 Exam of ear using a microscope	50	33	$87.00	$25.38
99213 Established patient office or other outpatient visit, typically 15 minutes	46	32	$117.48	$78.11
92567 Eardrum testing using ear probe	42	35	$53.00	$14.17
31231 Diagnostic examination of nasal passages using an endoscope	38	29	$340.00	$170.60
92588 Placement of ear probe for computerized measurement of repeated sounds with interpretation and report	35	34	$160.00	$29.24
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	32	29	$89.00	$43.80
92557 Comprehensive hearing and speech recognition test	26	25	$152.00	$33.02
31575 Diagnostic exam of voice box using a flexible endoscope	15	15	$353.00	$110.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	19	$99.94	$63.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	22	$140.32	$93.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$40.00	$21.91
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$69.00	$43.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$97.00	$64.36
92567 Eardrum testing using ear probe	12	12	$53.00	$13.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$274.00	$140.83
92504 Exam of ear using a microscope	11	11	$87.00	$24.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	76	$40.26	$21.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$97.00	$64.24
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$65.00	$43.09
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$67.00	$42.78
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$109.00	$62.37
31575 Diagnostic exam of voice box using a flexible endoscope	33	30	$102.12	$56.94
69210 Removal of impacted ear wax	27	25	$44.33	$27.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$66.00	$37.88
31231 Diagnostic examination of nasal passages using an endoscope	22	22	$148.00	$55.37
30901 Simple control of nose bleed	19	15	$87.00	$48.42
31575 Diagnostic exam of voice box using a flexible endoscope	18	18	$251.00	$98.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$162.00	$91.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$97.16	$64.71
99213 Established patient office or other outpatient visit, typically 15 minutes	46	42	$65.00	$43.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	41	$40.00	$21.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$162.00	$90.97
69210 Removal of impacted ear wax	20	20	$42.00	$28.00
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$109.00	$61.40
31575 Diagnostic exam of voice box using a flexible endoscope	17	17	$104.12	$56.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$66.00	$36.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	177	145	$176.00	$61.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	63	$260.00	$90.36
69210 Removal of impacted ear wax	60	58	$171.00	$41.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$263.00	$90.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$400.00	$137.99
31575 Diagnostic exam of voice box using a flexible endoscope	19	19	$401.00	$95.64

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110003392

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1861702268 (VA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jed Gonzalo , MD

Internal Medicine

NPI 1003073685

Doctor of Medicine (M.D.)

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

Dr. Kristin Mccoy , MD

Surgery

NPI 1003202425

Doctor of Medicine (M.D.)

Modupe White , FNP-C

Nurse Practitioner - Family

NPI 1003316431

Family Nurse Practitioner (Certified)

Dr. Vishal Gohil , MD

Internal Medicine - Gastroenterology

NPI 1013120997

Doctor of Medicine (M.D.)

Dr. John Fraser , MD

Neurological Surgery

NPI 1013987270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 07, 2019

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5402245170)

📍

Updated Business Mailing Address February 07, 2019

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5402245170)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2019

Physician Assistant (License #0110003392 in VA)

✅

NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2015

Registered at 830 DAVIS ST, BLACKSBURG, VA 240607010 (Tel: 5404437400)

📍

Updated Business Mailing Address September 02, 2015

Registered at 830 DAVIS ST, BLACKSBURG, VA 240607010 (Tel: 5404437400)

👤

Provider Name / Credentials Updated September 02, 2015

Recorded as SANDRA TOENSING, P.A.C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Physician Assistant (License #0110003392 in VA)

🟢

Initial NPI Registration & Enumeration October 19, 2010

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: 1861702268

Entity Type:

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

Enumeration Date: October 19, 2010

Last Update: February 07, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3 Riverside Cir

Roanoke, VA 240164955

Phone: 5402245170

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.