Justin Toth, PA-C
Justin Toth is a Medical Physician Assistant based in Wilmington, NC with over 11 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Justin Toth, PA-C runs an independent medical physician assistant practice in Wilmington, NC. Trained at Eastern Virginia Medical School (class of 2015), he has been practicing for over 11 years. CMS Medicare data shows his patients commonly have hypertension, high cholesterol, and arthritis. CMS MIPS quality score: 100/100 (2023).
At a glance
- Uses generic medications more than 22% of reporting doctors in North Carolina
- Federal MIPS score higher than 83% of MIPS-scored doctors in North Carolina
- Virtual visits available — no app or travel required
Older · 3965dNPPES updated 2015-07-16 · verify NPI on CMS · Verify license at North Carolina Medical Board
How Does This Doctor Compare?
Based on Medicare data, this doctor scores better than 83% of doctors in North Carolina on federal quality measures, favors affordable generic drugs over brand-name ones.
MIPS Score
2023100/100
North Carolina avg: 91.2 · US avg: 83.6
✓ Higher than most doctors nationally(+16.4 pts)
Better than 83% of MIPS-scored doctors in North CarolinaHow the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Generic Rx
↑ Higher = better81.2%
North Carolina avg: 83.1 · US avg: 82.8
⚠ Lower than most doctors nationally(-1.6 pts)
How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
579
Unique beneficiaries
High volumePrescription Recipients
544
Patients prescribed
Prescriptions Written
1,412
Total claims
Total Medicare drug cost: $1.31M
Percentile rankings compared against 1,349 reporting peers in North Carolina.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages Hypertension, High Cholesterol, and Arthritis.
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↑ More patients than average (+5%) — a focus area for this doctor
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+3%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↑ More patients than average (+6%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↑ More patients than average (+1%) — a focus area for this doctor
Conditions affecting emotional state, including depression and bipolar disorder
Excessive worry or fear that interferes with daily life
US avg: 34.1%↓ Fewer patients than average (-6%) — less common here
Gradual loss of kidney function over time, often linked to diabetes or hypertension
US avg: 29.6%↓ Fewer patients than average (-3%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$1.4k received from industry
72 transactions reported in 2024 ·Moderate tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Justin Toth's NPI.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 2015
Eastern Virginia Medical School
11 years in practice
Established
Definition to come...
Taxonomy: 363AM0700X
Education & Training
Eastern Virginia Medical School (Class of 2015)
Virtual Medical Care With Justin Toth
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Justin Toth for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Wilmington required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Justin Toth
Dr. Toth is listed as active in the NPI registry with telehealth listed in Wilmington, NC. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (910) 362-1011.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.
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Contact Justin Toth
Practice Location
5115 Oleander Dr, Wilmington, NC 28403-7018
Mailing Address
5115 Oleander Dr, Wilmington, NC 28403-7018
This is a provider directory. Contact the office directly to schedule appointments.
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