Individual provider Active NPI

Peter Toth, M.D.

  • Family Medicine Physician
  • Sterling, IL
National Provider Identifier
1861572869
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036061910 Issued in IL
Practice address
101 E Miller Rd
Sterling, IL 61081-1252
Phone
(815) 625-4790
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036061910 IL Primary

Addresses

Primary practice location

101 E Miller Rd
Sterling, IL 61081-1252

Mailing address

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790

Other identifiers 4

IdentifierTypeStateIssuer
075899OtherILHEALTH ALLIANCE PLAN
080173864OtherRAILROAD MEDICARE
9815737OtherILBLUE CROSS BLUE SHIELD
036092906MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.toth.p1@direct.cghmc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100913001112 IL Practitioner - Family Practice 6709785744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Practice addresses (Care Compare)

100 E Le Fevre Rd
Sterling, IL 61081-1278
Phone (815) 625-0400

100 E Lefevre Rd
Sterling, IL 61081-1278

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790

1315 Dixon Rd
Rock Falls, IL 61071-1906
Phone (815) 625-4790

15 W 3Rd St
Sterling, IL 61081-3510
Phone (815) 625-0226

1809 Locust St
Sterling, IL 61081-1101
Phone (815) 622-1210

601 E Old Mill St
Milledgeville, IL 61051-9221
Phone (815) 225-6040

Hospital & facility affiliations

  • Gaffey Home Nursing & Hospice, Inc Home health agency, Sterling, IL, CCN 147503
  • Castor Home Nursing Inc Home health agency, Sterling, IL, CCN 148383
  • CGH Home Nursing Home health agency, Sterling, IL, CCN 147562
  • CGH Medical Center Hospital, Sterling, IL, CCN 140043
  • Osf Saint Katharine Medical Center Hospital, Dixon, IL, CCN 140012

Merit-based Incentive Payment System (MIPS)

Final score
36.64 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
72.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036061910ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Dec 19, 2011 Accepting new patients
CGH Medical Center Current Accepting new patients
CGH Medical Center Family Medicine CurrentSince Dec 19, 2011 Accepting new patients
Sterling Rock Falls Clinic, LTD Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Sterling Rock Falls Clinic, LTD Past Accepting new patients
Sterling Rock Falls Clinic Past Accepting new patients

Locations

711 S Division Ave
Polo, IL 61064
Phone (815) 946-3661

1315 Dixon Rd
Rock Falls, IL 61071

10 W 3rd St
Sterling, IL 61081
Phone (815) 226-4990

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: ptoth20911@cghmc.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1861572869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MILLER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811252",
            "telephone_number": "815-625-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MILLER RD",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811252",
            "telephone_number": "815-625-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036061910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "075899",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080173864",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9815737",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092906",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.toth.p1@direct.cghmc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "101 E Miller Rd",
            "city": "Sterling",
            "state": "IL",
            "country_code": "US",
            "postal_code": "610811252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

Verify at the official NPI Registry.