Active NPI 1790799476 Individual Practitioner Male Practitioner

Dr. Joshua D Toby , MD

Anesthesiology • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Joshua Toby, MD is a registered healthcare professional specializing in Anesthesiology in Tyler, TX. Practice services are available at 1814 ROSELAND BLVD 200 under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for procedure for total knee joint replacement, injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve), anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1814 Roseland Blvd 200

Tyler, TX 757014262

Telephone 9035926000

Fax 9033631540

Associated Practice Facility / Clinic

🏢 Charles R Gordon Md Pa Facility NPI 1982717955

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 23.3 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Tyler, TX (4818 Statewide)

Telehealth Adoption Rate

2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

96.7% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
01402 Anesthesia for procedure for total knee joint replacement	19	18	$4932.63	$169.68
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	13	13	$1994.00	$61.58
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	12	11	$2153.67	$64.31
00813 Anesthesia for procedure on small and large bowel using an endoscope	11	11	$2710.91	$88.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	19	19	$1958.11	$64.19
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$90.00	$30.61
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	11	11	$1994.00	$44.86
01402 Anesthesia for procedure for total knee joint replacement	11	11	$5292.73	$183.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	102	100	$688.00	$72.02
00811 Anesthesia for procedure on large bowel using an endoscope	76	76	$622.74	$65.02
00142 Anesthesia for lens surgery	39	37	$620.31	$65.09
00812 Anesthesia for exam of colon using an endoscope	28	28	$603.43	$51.91
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	25	25	$929.28	$100.56
00813 Anesthesia for procedure on small and large bowel using an endoscope	21	21	$749.71	$79.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$505.00	$31.60
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	20	20	$1262.40	$145.04
01402 Anesthesia for procedure for total knee joint replacement	19	19	$1470.32	$154.26
00910 Anesthesia for other procedure on urinary system through urethra	19	17	$682.11	$71.06
00670 Anesthesia for procedure on spine and spinal cord	12	12	$2512.00	$297.01
00400 Anesthesia for procedure on skin of arms, legs, or trunk	12	12	$712.00	$73.22
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	11	11	$1239.27	$157.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	199	187	$60.00	$20.76
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	63	62	$646.10	$67.13
80307 Testing for presence of drug, by chemistry analyzers	55	55	$300.00	$67.23
99213 Established patient office or other outpatient visit, typically 15 minutes	54	54	$125.00	$68.78
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	54	43	$150.00	$11.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	51	$155.00	$101.01
00811 Anesthesia for procedure on large bowel using an endoscope	44	44	$608.73	$63.31
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	39	39	$750.00	$188.41
00142 Anesthesia for lens surgery	33	33	$610.91	$63.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$375.00	$159.72
00812 Anesthesia for exam of colon using an endoscope	24	24	$604.00	$50.64
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	18	12	$982.22	$122.62
01402 Anesthesia for procedure for total knee joint replacement	18	18	$1493.33	$160.98
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	15	15	$1395.20	$150.19
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	14	14	$877.71	$92.81
00813 Anesthesia for procedure on small and large bowel using an endoscope	13	13	$723.69	$76.13
62322 Injection of substance into lower spine canal	11	11	$480.00	$150.97
00400 Anesthesia for procedure on skin of arms, legs, or trunk	11	11	$733.09	$76.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$505.00	$31.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	945	12	$19.00	$12.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	668	464	$60.00	$19.06
80307 Testing for presence of drug, by chemistry analyzers	491	409	$299.53	$58.75
99213 Established patient office or other outpatient visit, typically 15 minutes	351	222	$125.00	$68.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	322	232	$155.00	$99.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	314	184	$150.00	$11.87
J1100 Injection, dexamethasone sodium phosphate, 1 mg	252	18	$1.25	$0.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	159	159	$375.00	$157.27
J1885 Injection, ketorolac tromethamine, per 15 mg	146	45	$9.97	$0.65
G0482 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	132	125	$750.00	$195.99
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	96	63	$1008.31	$121.06
J1030 Injection, methylprednisolone acetate, 40 mg	88	71	$14.83	$5.54
64640 Destruction of peripheral nerve or branch	87	23	$691.00	$45.61
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	82	53	$475.00	$216.26
J1040 Injection, methylprednisolone acetate, 80 mg	77	65	$29.90	$10.91
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	76	35	$260.00	$58.63
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	75	54	$266.00	$96.38
62323 Injection of substance into lower spine canal using imaging guidance	68	60	$705.00	$228.92
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	63	37	$1007.54	$117.15
63650 Implantation of spinal neurostimulator electrodes, accessed through the skin	58	20	$3000.00	$301.52
62323 Injection of substance into lower spine canal using imaging guidance	54	36	$705.00	$95.82
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	51	30	$396.41	$69.02
64634 Destruction of upper or middle spinal facet joint nerves with imaging guidance	49	20	$425.00	$65.29
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	49	47	$575.00	$154.39
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	47	46	$450.00	$115.30
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	44	32	$150.00	$47.45
J1020 Injection, methylprednisolone acetate, 20 mg	42	35	$11.00	$5.15
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	37	26	$350.00	$51.05
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	35	23	$1151.43	$130.68
64491 Injection of upper or middle spine facet joint using imaging guidance, second level	34	23	$430.00	$74.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	24	$350.00	$30.96
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	33	23	$768.18	$89.95
62321 Injection of substance into middle or upper spine canal using imaging guidance	32	25	$720.00	$107.87
62322 Injection of substance into lower spine canal	31	29	$480.00	$146.21
20552 Injections of trigger points in 1 or 2 muscles	29	25	$350.00	$51.10
64633 Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint	28	20	$485.00	$215.31
64492 Injections of upper or middle spine facet joint using imaging guidance	25	17	$419.68	$73.08
20553 Injection of trigger points, 3 or more muscles	20	16	$439.00	$60.92
63685 Insertion of spinal neurostimulator pulse generator or receiver	16	15	$2000.00	$188.09

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License TX L9517

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

166164702 (TX)

Commercial Insurance / Payer ID Bcbs Of Texas

8V5222 (TX)

Commercial Insurance / Payer ID Pid For Tc

9470616 (TX)

Commercial Insurance / Payer ID Tricare

752616977042 (TX)

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Timothy Lambert , DC, FNP-C

Nurse Practitioner - Family

NPI 1073561494

Doctor of Chiropractic, Family Nurse Practitioner (Certified)

Dr. Spencer Shastid , DO

Internal Medicine

NPI 1093336695

Doctor of Osteopathic Medicine (D.O.)

Jane Davidson , NP

Nurse Practitioner

NPI 1124523840

Nurse Practitioner

Wendy Prewett

Nurse Practitioner - Acute Care

NPI 1134633266

Melissa Neal , FNP

Nurse Practitioner

NPI 1144239005

Family Nurse Practitioner

Dr. Charles Gordon , MD

Neurological Surgery

NPI 1164535142

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 November 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 18, 2015

Registered at 1814 ROSELAND BLVD 200, TYLER, TX 757014262 (Tel: 9035926000)

📍

Updated Business Mailing Address November 18, 2015

Registered at PO BOX 130459, TYLER, TX 757130459 (Tel: 9035312500)

👤

Provider Name / Credentials Updated November 18, 2015

Recorded as JOSHUA TOBY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2015

Anesthesiology (License #L9517 in TX)

🟢

Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790799476

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: November 18, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 130459

Tyler, TX 757130459

Phone: 9035312500

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.