Active NPI 1821055229 Individual Practitioner Male Practitioner

Dr. David A Toivonen , MD

Orthopaedic Surgery • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. David Toivonen, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Appleton, WI. Practice services are available at 2323 N CASALOMA DR under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, 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

2323 N Casaloma Dr

Appleton, WI 549138284

Telephone 9207308833

Associated Practice Facility / Clinic

🏢 Hand To Shoulder Center Of Wisconsin, Ltd. Facility NPI 1760420277

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Appleton, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.0 Yrs

State Avg: 23.8 Yrs

Regional Practice Density

32 Specialists

Practicing in Appleton, WI (688 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.3% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	54	30	$130.56	$24.31
97140 Therapy procedure using manual technique, each 15 minutes	43	23	$100.00	$20.96
99213 Established patient office or other outpatient visit, typically 15 minutes	37	23	$269.00	$87.48
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	25	14	$22.00	$6.36
73110 X-ray of wrist, minimum of 3 views	19	11	$244.00	$34.61
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	18	12	$123.00	$31.08
73140 X-ray of finger, minimum of 2 views	18	12	$178.00	$35.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$491.00	$160.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$324.23	$107.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$377.23	$117.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	227	85	$123.00	$24.96
97140 Therapy procedure using manual technique, each 15 minutes	141	65	$98.00	$21.59
99213 Established patient office or other outpatient visit, typically 15 minutes	65	41	$213.00	$71.94
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	56	26	$121.00	$31.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$309.00	$100.75
97530 Therapy procedure using functional activities	36	13	$95.00	$34.62
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	35	22	$22.00	$7.02
73030 X-ray of shoulder, minimum of 2 views	30	23	$288.00	$31.56
97166 Evaluation of occupational therapy, typically 45 minutes	29	28	$282.00	$88.56
73140 X-ray of finger, minimum of 2 views	26	17	$178.00	$33.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$308.00	$104.65
73110 X-ray of wrist, minimum of 3 views	18	12	$244.00	$37.19
Q4014 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass	12	11	$33.33	$22.20
29085 Application of hand and lower forearm cast	12	11	$430.00	$89.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	415	130	$122.75	$24.75
97140 Therapy procedure using manual technique, each 15 minutes	293	96	$97.84	$20.98
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	120	49	$120.77	$31.15
99213 Established patient office or other outpatient visit, typically 15 minutes	86	52	$212.79	$70.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$308.48	$102.94
97530 Therapy procedure using functional activities	71	23	$95.00	$35.23
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	52	32	$21.98	$6.79
97166 Evaluation of occupational therapy, typically 45 minutes	41	41	$281.22	$88.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$306.58	$104.15
73110 X-ray of wrist, minimum of 3 views	36	23	$243.22	$35.79
73140 X-ray of finger, minimum of 2 views	36	25	$177.17	$32.97
73030 X-ray of shoulder, minimum of 2 views	32	25	$287.50	$28.72
64721 Release and/or relocation of hand nerve	19	17	$5396.00	$297.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$168.00	$42.97
73130 X-ray of hand, minimum of 3 views	14	12	$240.00	$31.72
26055 Incision of tendon covering	13	12	$2879.54	$541.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	473	122	$119.00	$25.06
97140 Therapy procedure using manual technique, each 15 minutes	265	82	$95.00	$20.85
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	102	34	$117.00	$31.87
99213 Established patient office or other outpatient visit, typically 15 minutes	76	49	$207.00	$69.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$300.00	$102.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	44	$299.00	$101.74
73110 X-ray of wrist, minimum of 3 views	51	22	$237.00	$33.42
73140 X-ray of finger, minimum of 2 views	46	28	$176.76	$30.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	42	25	$21.00	$7.15
97166 Evaluation of occupational therapy, typically 45 minutes	33	33	$274.00	$83.68
97022 Application of whirlpool therapy	22	11	$52.00	$12.26
73030 X-ray of shoulder, minimum of 2 views	21	16	$293.33	$29.31
Q4014 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass	20	14	$19.50	$19.19
73130 X-ray of hand, minimum of 3 views	20	13	$233.00	$31.86
29085 Application of hand and lower forearm cast	20	14	$362.00	$91.21
64721 Release and/or relocation of hand nerve	14	11	$5239.00	$330.53
20550 Injection into tendon or ligament	13	12	$303.00	$50.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	410	129	$119.00	$24.75
97140 Therapy procedure using manual technique, each 15 minutes	187	69	$95.00	$20.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$300.00	$102.44
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	60	21	$117.00	$26.46
73140 X-ray of finger, minimum of 2 views	50	34	$173.00	$29.12
99213 Established patient office or other outpatient visit, typically 15 minutes	49	37	$207.00	$69.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$299.00	$99.03
97165 Evaluation for occupational therapy, typically 30 minutes	31	29	$274.00	$83.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$163.00	$40.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	31	21	$21.00	$6.77
97166 Evaluation of occupational therapy, typically 45 minutes	25	25	$274.00	$88.01
73110 X-ray of wrist, minimum of 3 views	24	17	$237.00	$33.78
73130 X-ray of hand, minimum of 3 views	23	18	$233.00	$30.66
97530 Therapy procedure using functional activities	18	11	$92.00	$27.77
97760 Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes	18	15	$131.00	$33.95
97022 Application of whirlpool therapy	18	13	$52.00	$21.79
73030 X-ray of shoulder, minimum of 2 views	15	13	$280.00	$27.65
29085 Application of hand and lower forearm cast	14	14	$362.00	$90.87
Q4014 Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass	14	14	$20.00	$18.27
64721 Release and/or relocation of hand nerve	13	11	$5239.00	$310.04
26480 Transplant of tendon of hand, without graft	12	12	$5862.00	$352.67
25447 Removal of bone joints between wrist and fingers	12	12	$6458.00	$784.65

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 31403

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32174800 (WI)

Commercial Insurance / Payer ID National Government Servi

0555860001 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Shelly Somers , PT, DPT

Physical Therapist

NPI 1043658172

Physical Therapist, Doctor of Physical Therapy

Ryan Lubbe

Orthopaedic Surgery

NPI 1063916492

Dr. Thomas France , MD

Orthopaedic Surgery

NPI 1073074043

Doctor of Medicine (M.D.)

Vivienne Neerdaels , OTR

Occupational Therapist

NPI 1073705125

Occupational Therapist Registered

Steven Huft , OT

Occupational Therapist

NPI 1073950838

Occupational Therapist

Karen Reindl , OTR, CHT

Occupational Therapist

NPI 1104876960

Occupational Therapist Registered, Certified Hand Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 31, 2012

Registered at 2323 N CASALOMA DR, APPLETON, WI 549138284 (Tel: 9207308833)

📍

Updated Business Mailing Address October 31, 2012

Registered at 2323 N CASALOMA DR, APPLETON, WI 549138284 (Tel: 9207308833)

👤

Provider Name / Credentials Updated October 31, 2012

Recorded as DAVID TOIVONEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2012

Orthopaedic Surgery (License #31403 in WI)

🟢

Initial NPI Registration & Enumeration April 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821055229

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: October 31, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2323 N Casaloma Dr

Appleton, WI 549138284

Phone: 9207308833

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.