Dr. John Donald Toth, DO

  • Sun City West, AZ
  • Orthopedic surgeon
NPI1780736348PAC ID1153496484
Medicare services, 2024
1,785
Medicare patients, 2024
384
Part D claims, 2024
74
MIPS score, 2024
84
Hospital affiliations
2
Practice address
14416 W Meeker Blvd, Sun City West, AZ 85375
Practice phone
Call (623) 583-5270
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Banner Primary Care Sun City West

Sun City West, Arizona

See all 8 affiliations

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Dr. John Donald Toth is an orthopedic surgeon in Sun City West, Arizona

Dr. Toth practices at Banner Primary Care Sun City West in Sun City West, Arizona.

Dr. Toth's NPI, 1780736348, was assigned on January 16, 2007. Dr. Toth graduated from Mid West Medical College in 2003. Dr. Toth holds Virginia license 0102202195.

NPI and contact details
Medicare PAC ID
1153496484
NPI enumeration date
January 16, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(623) 583-5270
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
49
Medical school graduation
2003

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. John Donald Toth practices at Banner Primary Care Sun City West in Sun City West, Arizona

Dr. Toth's primary practice is Banner Primary Care Sun City West, at 14416 W Meeker Blvd, Sun City West, AZ 85375 in Maricopa County. The practice phone is (623) 583-5270.

  • Banner Primary Care Sun City West
    14416 W Meeker Blvd, Sun City West, AZ 85375 · Maricopa CountyPhone(623) 583-5270

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. John Donald Toth is affiliated with 6 sites of care and 2 medical groups

Dr. Toth's primary practice is Banner Primary Care Sun City West in Sun City West, Arizona. Dr. Toth is also affiliated with Banner Gateway Medical Center. The medical group on file is Banner Medical Group. Dmand AI also links Dr. Toth to 1 more hospital, 2 group practices and clinics, 1 home health agency and 1 medical group, each named with a free account.

See all 8 affiliations for Dr. Toth

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. John Donald Toth's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Toth practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Banner Primary Care Sun City WestAvailable with a free account
+5 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. John Donald Toth is one of 377 orthopedic surgeons in Arizona

Orthopaedic surgery is Dr. Toth's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Toth is licensed in Virginia.

Specialties and state licenses

  • Orthopaedic surgery, VirginiaPrimaryLicense 0102202195 · taxonomy 207X00000X

Orthopedic surgeons near Dr. Toth

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

377orthopedic surgeons in Arizona
7orthopedic surgeons in Sun City West

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. John Donald Toth billed Medicare for 1,785 services in 2024

CMS data shows 1,785 Medicare services from Dr. Toth across 17 procedure codes in 2024, for 384 Medicare patients. Medicare paid $149,678 for them.

Medicare services, 20241,785
Medicare patients384
Paid by Medicare$149,678
Procedure codes17

Dr. Toth's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 8042024: 67616%
Office and hospital visits
2023: 5042024: 43813%
Surgery
2023: 3722024: 3623%
Imaging
2023: 2922024: 3096%

Where Dr. Toth's Medicare services took place, 2024

  • In an office1,55787%
  • In a facility22813%

Dr. Toth compared with the Arizona median for orthopedic surgeons, 2024

  • Dr. Toth
  • Arizona median
Medicare services
1,785vs 98881% above
Medicare patients
384vs 28734% above
Part D claims
43vs 7442% below

Medians across 343 orthopedic surgeons in Arizona with Dmand AI profiles that report each measure.

Dr. Toth's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Toth

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. John Donald Toth treated 384 Medicare patients in 2024, average age 74

CMS counts 384 Medicare patients who saw Dr. Toth in 2024. The largest group is 65 to 74, with 180 patients. 75% of them have arthritis, and 75% have high cholesterol. 6% are also on Medicaid. Their average risk score is 1.13, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Toth's median patient age at 68, with 55% women.

Medicare patients, 2024384
Average age74
Average risk score1.13
Also on Medicaid6%

Dr. Toth's Medicare patients by age, 2024

Dr. Toth's Medicare patients by sex, 2024

  • Women21857%
  • Men16643%

Chronic conditions among Dr. Toth's Medicare patients, 2024

  1. Arthritis75%
  2. High cholesterol75%
  3. High blood pressure74%
  4. Ischemic heart disease31%
  5. Diabetes29%
  6. Chronic kidney disease27%
  7. Mood disorders27%
  8. Anxiety25%

Share of Medicare patients with each condition. A patient can have several.

Dr. Toth's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women55%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. John Donald Toth wrote 74 Medicare Part D claims in 2024

In 2024, Dr. Toth wrote 74 Medicare Part D claims for 60 patients. 100% of them were for generic drugs. CMS names the drug for 43 of them, across 2 drugs with 11 or more claims each, at $357 in total drug cost. In 2023, CMS named 33 claims across 2 drugs.

Part D claims, 202474
Drugs named by CMS2
Total drug cost$357
Part D patients60

Dr. Toth's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Toth's Part D claims, 2024

  • Opioids62%46 of 74 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 332024: 4330%

Drugs named by CMS: 2 in 2024, 2 in 2023.

See all prescribing by Dr. Toth

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. John Donald Toth scored 84 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 84 out of 100 for Dr. Toth for performance year 2024, reported as part of a group. Dr. Toth accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 82 procedures of upper limb (arm) arthroscopy (minimally invasive joint repair) by Dr. Toth, more than 94% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Toth's MIPS scores, performance year 2024

  • 84of 100Final score
  • 76.3of 100Quality
  • 99of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 72of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Toth ranks in Medicare procedure volume

Upper limb (arm) arthroscopy (minimally invasive joint repair)
94th percentile82 procedures
Knee replacement
41st percentile13 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. John Donald Toth received $13,171 in industry payments from 2016 to 2025

CMS Open Payments shows 110 general payments to Dr. Toth from 11 drug and device companies from 2016 to 2025. Travel and lodging make up the largest share, 46% of the total. Stryker Corporation paid the most, $8,015.

General payments to Dr. Toth by program year, 2016 to 2025

General payments to Dr. Toth by kind, 2016 to 2025

$13.2Kin total
  • Travel and lodging$6,03746%
  • Food and beverage$5,13439%
  • Consulting fees$2,00015%

Companies that paid Dr. Toth the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Toth

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. John Donald Toth graduated from Mid West Medical College

Dr. Toth graduated from Mid West Medical College in 2003.

  1. Medical schoolMid West Medical College

Source: Dmand AI Professional Profile Data

Sources for Dr. John Donald Toth's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. John Donald Toth

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. John Donald Toth's NPI number?

Dr. John Donald Toth's NPI number is 1780736348. It was assigned on January 16, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. John Donald Toth?

Dr. John Donald Toth is an orthopedic surgeon in Sun City West, Arizona. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. John Donald Toth practice?

Dr. Toth practices at 14416 W Meeker Blvd, Sun City West, AZ 85375. Dr. Toth's primary practice is Banner Primary Care Sun City West in Sun City West, Arizona. Dmand AI also links Dr. Toth to 1 hospital, 2 group practices and clinics, 1 home health agency and 1 medical group.

What is Dr. John Donald Toth's office phone number?

The practice phone on file for Dr. Toth is (623) 583-5270.

What is Dr. John Donald Toth's medical license number?

Dr. Toth holds Virginia license 0102202195.

Which hospitals is Dr. John Donald Toth affiliated with?

Dr. Toth is affiliated with Banner Gateway Medical Center. Dmand AI links Dr. Toth to 1 more hospital.

What medical group is Dr. John Donald Toth part of?

Dr. Toth is linked to Banner Medical Group. Dmand AI links Dr. Toth to 1 more medical group.

Does Dr. John Donald Toth accept Medicare?

Yes. CMS data shows Dr. Toth billed Medicare for 1,785 services in 2024, and Dr. Toth accepts Medicare assignment.

What is Dr. John Donald Toth's MIPS score?

Dr. Toth's MIPS final score for performance year 2024 is 84 out of 100, reported as part of a group.

How many Medicare patients does Dr. John Donald Toth see?

CMS counts 384 Medicare patients who saw Dr. Toth in 2024, with an average age of 74.

Show 5 more questionsShow fewer questions

What services does Dr. John Donald Toth bill to Medicare?

In 2024, Dr. Toth's most billed Medicare services were injected or infused drug (J3301), diagnostic imaging (73030) and surgery: bones and joints (20610).

Where did Dr. John Donald Toth go to medical school?

Dr. Toth graduated from Mid West Medical College in 2003.

What drugs does Dr. John Donald Toth prescribe most?

In 2024 Medicare Part D data, Dr. Toth's most prescribed drugs by claims were Hydrocodone-Acetaminophen and Meloxicam.

Has Dr. John Donald Toth received payments from drug or device companies?

CMS Open Payments shows $13,171 in general payments to Dr. Toth from 11 companies from 2016 to 2025. The largest total came from Stryker Corporation.

How long has Dr. John Donald Toth been practicing?

Dr. Toth graduated from medical school in 2003, 23 years ago.

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