Active NPI 1144203258 Individual Practitioner Male Practitioner

Dr. Toby Johnson , MD

Orthopaedic Surgery - Hand Surgery • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Toby Johnson, MD is a certified Orthopaedic Surgery - Hand Surgery practicing in Provo, UT. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Johnson delivers high-quality medical care to the local community at 1055 N 500 W STE 207.

Dr. Johnson is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, new 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

1055 N 500 W Ste 207

Provo, UT 846043305

Telephone 8013737350

Fax 8014298085

Associated Practice Facility / Clinic

🏢 Revere Health Pc Facility NPI 1780017954

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery - Hand Surgery in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +6.6 yrs vs City Avg

City Avg: 20.4 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Provo, UT (29 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (27 Years) 27 Yrs

Provo Specialty Average (20.4 Years) 20.4 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	207	59	$3.00	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	61	52	$152.95	$86.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$187.84	$104.17
20550 Injection into tendon or ligament	48	32	$124.00	$45.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$215.83	$121.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$281.48	$158.99
73140 X-ray of finger, minimum of 2 views	39	26	$111.79	$35.35
73100 X-ray of wrist, 2 views	29	17	$97.10	$30.50
20600 Aspiration and/or injection of fluid from small joint	22	17	$117.86	$47.36
73130 X-ray of hand, minimum of 3 views	18	13	$109.00	$32.00
64721 Release and/or relocation of hand nerve	18	17	$1195.83	$384.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	39	$3.00	$1.08
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$149.88	$84.28
20550 Injection into tendon or ligament	32	21	$120.81	$46.57
73100 X-ray of wrist, 2 views	30	16	$96.27	$30.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$276.58	$158.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$211.82	$121.47
73140 X-ray of finger, minimum of 2 views	17	13	$104.76	$33.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$93.88	$53.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$186.08	$106.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	76	25	$3.16	$0.99
99213 Established patient office or other outpatient visit, typically 15 minutes	46	29	$147.96	$85.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$186.73	$105.32
73140 X-ray of finger, minimum of 2 views	24	18	$106.96	$32.99
20550 Injection into tendon or ligament	21	11	$119.00	$36.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$91.89	$53.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$208.94	$118.05
73130 X-ray of hand, minimum of 3 views	15	12	$104.87	$30.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$286.45	$151.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	130	$218.72	$95.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	129	111	$317.67	$135.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	108	$127.96	$58.60
J1030 Injection, methylprednisolone acetate, 40 mg	115	80	$16.04	$5.69
36415 Insertion of needle into vein for collection of blood sample	105	98	$21.10	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	103	98	$70.29	$15.64
73030 X-ray of shoulder, minimum of 2 views	71	59	$87.99	$37.00
71046 X-ray of chest, 2 views	66	64	$89.76	$25.07
20550 Injection into tendon or ligament	54	41	$158.44	$51.49
73110 X-ray of wrist, minimum of 3 views	53	40	$108.60	$42.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	13	$5.00	$1.20
73130 X-ray of hand, minimum of 3 views	51	39	$93.37	$38.48
29125 Application of nonmoveable forearm to hand splint	50	47	$199.16	$20.86
73140 X-ray of finger, minimum of 2 views	49	37	$105.71	$37.82
64721 Release and/or relocation of hand nerve	49	45	$1682.00	$286.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$255.91	$114.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$422.77	$169.03
64718 Release and/or relocation of elbow nerve	41	37	$2317.22	$607.55
76000 Imaging guidance for procedure, 60 minutes or less	38	36	$181.89	$15.51
26055 Incision of tendon covering	37	24	$1223.30	$213.40
20600 Aspiration and/or injection of fluid from small joint	29	21	$139.97	$47.87
20610 Aspiration and/or injection of fluid from large joint	27	21	$208.00	$63.74
73080 X-ray of elbow, minimum of 3 views	22	17	$92.77	$34.59
25310 Relocation of tendon of forearm and/or wrist	22	22	$1881.68	$329.73
25447 Removal of bone joints between wrist and fingers	21	21	$2875.57	$795.87
73221 Mri scan of arm joint without contrast	20	19	$1170.60	$174.06
23430 Anchoring of biceps tendon	15	15	$2272.00	$369.69
29075 Application of elbow to finger cast	14	12	$242.57	$85.66
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	13	12	$55.62	$18.97
23472 Prosthetic repair of shoulder joint, total shoulder	12	12	$6491.02	$1402.64
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3681.82	$178.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	252	200	$211.00	$77.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	250	194	$126.00	$47.96
36415 Insertion of needle into vein for collection of blood sample	194	168	$21.00	$2.98
J1030 Injection, methylprednisolone acetate, 40 mg	179	97	$15.00	$6.00
93000 Routine ekg using at least 12 leads including interpretation and report	158	145	$70.00	$18.02
73030 X-ray of shoulder, minimum of 2 views	138	96	$85.00	$35.56
29125 Application of nonmoveable forearm to hand splint	78	73	$203.24	$21.40
20550 Injection into tendon or ligament	70	37	$171.00	$45.37
64721 Release and/or relocation of hand nerve	65	61	$1886.77	$344.39
76000 Imaging guidance for procedure, 60 minutes or less	63	58	$200.00	$16.09
20610 Aspiration and/or injection of fluid from large joint	59	41	$204.71	$62.43
73110 X-ray of wrist, minimum of 3 views	55	30	$104.00	$41.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	53	$310.00	$111.79
73221 Mri scan of arm joint without contrast	45	44	$1180.00	$177.28
73140 X-ray of finger, minimum of 2 views	44	29	$100.00	$37.18
73130 X-ray of hand, minimum of 3 views	41	32	$90.00	$37.49
71046 X-ray of chest, 2 views	39	39	$90.00	$24.13
26055 Incision of tendon covering	39	27	$1180.00	$201.52
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	38	36	$3640.00	$180.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$311.00	$113.12
29823 Removal of extensive shoulder joint tissue using an endoscope	32	31	$4040.00	$174.31
64718 Release and/or relocation of elbow nerve	27	25	$2607.41	$614.59
23430 Anchoring of biceps tendon	25	25	$2400.00	$423.99
73070 X-ray of elbow, 2 views	24	16	$80.00	$28.73
29827 Repair of shoulder rotator cuff using an endoscope	23	22	$4040.00	$1122.25
23472 Prosthetic repair of shoulder joint, total shoulder	22	22	$7000.00	$1522.95
20600 Aspiration and/or injection of fluid from small joint	22	14	$144.27	$46.12
25310 Relocation of tendon of forearm and/or wrist	21	20	$1894.67	$289.89
25447 Removal of bone joints between wrist and fingers	20	19	$2895.00	$714.75
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$216.00	$80.04
29125 Application of nonmoveable forearm to hand splint	18	14	$191.00	$68.47
29824 Partial removal of collar bone at shoulder using an endoscope	17	17	$3380.00	$313.51
20680 Removal of deep implant from bone	16	12	$1549.00	$332.09
Q4022 Cast supplies, short arm splint, adult (11 years +), fiberglass	15	14	$50.00	$12.59
23412 Repair of chronic torn shoulder rotator cuff	12	12	$3960.00	$822.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	229	$211.00	$74.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	260	213	$126.00	$46.09
36415 Insertion of needle into vein for collection of blood sample	188	173	$21.00	$2.91
J1030 Injection, methylprednisolone acetate, 40 mg	187	124	$15.00	$6.06
93000 Routine ekg using at least 12 leads including interpretation and report	147	141	$70.00	$17.55
71046 X-ray of chest, 2 views	135	129	$90.00	$21.80
73030 X-ray of shoulder, minimum of 2 views	124	104	$85.00	$30.69
20550 Injection into tendon or ligament	71	43	$171.00	$45.18
73130 X-ray of hand, minimum of 3 views	60	41	$90.00	$35.24
20610 Aspiration and/or injection of fluid from large joint	58	45	$218.48	$61.55
64721 Release and/or relocation of hand nerve	56	53	$1740.00	$323.62
73110 X-ray of wrist, minimum of 3 views	56	44	$104.00	$37.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$311.00	$106.38
73140 X-ray of finger, minimum of 2 views	39	24	$100.00	$31.07
73221 Mri scan of arm joint without contrast	38	36	$1180.00	$175.29
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$216.00	$78.94
20600 Aspiration and/or injection of fluid from small joint	34	29	$150.18	$47.39
73070 X-ray of elbow, 2 views	30	26	$80.00	$28.40
64718 Release and/or relocation of elbow nerve	28	27	$2514.29	$620.97
26055 Incision of tendon covering	26	18	$1180.00	$239.53
23472 Prosthetic repair of shoulder joint, total shoulder	24	24	$6577.08	$1326.81
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$3640.00	$170.23
29823 Removal of extensive shoulder joint tissue using an endoscope	22	22	$4040.00	$246.91
76000 Imaging guidance for procedure, 60 minutes or less	20	19	$200.00	$15.66
77002 Fluoroscopic guidance for needle placement	20	18	$275.00	$102.69
25310 Relocation of tendon of forearm and/or wrist	19	18	$1960.00	$318.46
25447 Removal of bone joints between wrist and fingers	18	16	$3000.00	$803.50
29125 Application of nonmoveable forearm to hand splint	17	17	$191.00	$20.43
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$172.59	$47.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$310.00	$99.75
72141 MRI scan of upper spinal canal	12	12	$1365.00	$143.21
29824 Partial removal of collar bone at shoulder using an endoscope	12	12	$3380.00	$376.17
23430 Anchoring of biceps tendon	12	12	$2250.00	$328.84
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$4040.00	$998.96

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	277	219	$126.00	$44.12
99213 Established patient office or other outpatient visit, typically 15 minutes	224	187	$211.00	$71.56
J1030 Injection, methylprednisolone acetate, 40 mg	168	113	$15.00	$6.54
73030 X-ray of shoulder, minimum of 2 views	158	120	$85.00	$30.56
36415 Insertion of needle into vein for collection of blood sample	153	144	$21.00	$2.90
93000 Routine ekg using at least 12 leads including interpretation and report	127	125	$70.00	$17.38
71046 X-ray of chest, 2 views	74	73	$90.00	$20.53
73130 X-ray of hand, minimum of 3 views	74	54	$90.00	$33.57
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$216.00	$73.43
20550 Injection into tendon or ligament	52	40	$171.00	$46.33
73110 X-ray of wrist, minimum of 3 views	51	37	$104.00	$34.77
20610 Aspiration and/or injection of fluid from large joint	49	43	$214.16	$63.89
64721 Release and/or relocation of hand nerve	47	47	$1894.47	$342.31
73140 X-ray of finger, minimum of 2 views	45	31	$100.00	$30.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$311.00	$102.60
73221 Mri scan of arm joint without contrast	40	37	$1180.00	$172.27
73070 X-ray of elbow, 2 views	30	24	$80.00	$25.57
64718 Release and/or relocation of elbow nerve	30	30	$2515.33	$604.41
26055 Incision of tendon covering	23	17	$1180.00	$224.09
23472 Prosthetic repair of shoulder joint, total shoulder	21	20	$6766.67	$1365.28
23430 Anchoring of biceps tendon	21	20	$2400.00	$371.30
20600 Aspiration and/or injection of fluid from small joint	20	16	$179.40	$54.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$310.00	$106.00
72141 MRI scan of upper spinal canal	17	17	$1365.00	$152.02
20605 Aspiration and/or injection of medium joint or joint capsule	14	14	$174.64	$40.39
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3640.00	$171.09

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	240	193	$126.00	$44.59
99213 Established patient office or other outpatient visit, typically 15 minutes	238	199	$211.00	$74.22
36415 Insertion of needle into vein for collection of blood sample	150	139	$21.00	$2.92
73030 X-ray of shoulder, minimum of 2 views	148	114	$85.00	$29.88
93000 Routine ekg using at least 12 leads including interpretation and report	126	120	$70.00	$17.54
71020 X-ray of chest, 2 views, front and side	122	116	$82.00	$18.14
J1030 Injection, methylprednisolone acetate, 40 mg	119	97	$15.00	$5.63
64721 Release and/or relocation of hand nerve	54	51	$1866.67	$286.05
73110 X-ray of wrist, minimum of 3 views	53	41	$104.00	$35.55
20610 Aspiration and/or injection of fluid from large joint	49	43	$198.00	$61.45
73140 X-ray of finger, minimum of 2 views	46	34	$100.00	$30.96
73130 X-ray of hand, minimum of 3 views	44	32	$90.00	$31.92
20550 Injection into tendon or ligament	42	32	$171.00	$48.05
73221 Mri scan of arm joint without contrast	42	37	$1180.00	$176.17
64718 Release and/or relocation of elbow nerve	36	33	$2505.56	$571.43
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$216.00	$73.87
23472 Prosthetic repair of shoulder joint, total shoulder	32	31	$7000.00	$1486.44
73070 X-ray of elbow, 2 views	32	27	$80.00	$26.32
23430 Anchoring of biceps tendon	28	28	$2400.00	$381.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$311.00	$107.36
26055 Incision of tendon covering	17	11	$1180.00	$208.30
29823 Removal of extensive shoulder joint tissue using an endoscope	17	17	$4040.00	$201.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	16	16	$3640.00	$178.73
76000 Imaging guidance for procedure, 60 minutes or less	14	13	$200.00	$8.87
20680 Removal of deep implant from bone	14	13	$1471.57	$319.26
29824 Partial removal of collar bone at shoulder using an endoscope	13	13	$3380.00	$314.67
29827 Repair of shoulder rotator cuff using an endoscope	11	11	$4040.00	$1084.53

Medical Specialties & State Licenses

CMS Verified: 2024-07-22

Orthopaedic Surgery - Hand Surgery Primary Specialty

NUCC Taxonomy Code: 207XS0106X

State License UT 12294965-1205

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

P00276609 (CA)

Commercial Insurance / Payer ID State Of Washington

0196688 (CA)

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8013754263

Secondary Practice Locations

3000 N Triumph Blvd Ste 100

Lehi, UT 840434999

Phone: 8013737351

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Travis Peterson , DO

Orthopaedic Surgery - Hand Surgery

NPI 1033326020

Doctor of Osteopathic Medicine (D.O.)

Dr. Scott Evans , MD

Orthopaedic Surgery - Hand Surgery

NPI 1033435045

Doctor of Medicine (M.D.)

Dr. Evan Nielsen , MD

Orthopaedic Surgery

NPI 1043527260

Doctor of Medicine (M.D.)

Zachary Golden , PA

Physician Assistant

NPI 1053856542

Physician Assistant

Dr. Bradford Matthews , MD

Orthopaedic Surgery

NPI 1063523959

Doctor of Medicine (M.D.)

Eric Leach , PA-C

Physician Assistant

NPI 1124068739

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 22, 2024

Registered at 1055 N 500 W STE 207, PROVO, UT 846043305 (Tel: 8013737350)

📍

Updated Business Mailing Address July 01, 2021

Registered at 1055 N 500 W, ATT CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Orthopaedic Surgery (License #12294965-1205 in UT)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203305 (Tel: 5592565200)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203305 (Tel: 5592565200)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TOBY JOHNSON, MD

🎓

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

Orthopaedic Surgery (License #A87693 in CA)

🟢

Initial NPI Registration & Enumeration November 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Toby Johnson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1144203258

Entity Type:

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

Enumeration Date: November 22, 2005

Last Update: July 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Att Credentialing

Provo, UT 846043305

Phone: 8013548225

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.