Justin Toth, PA-C
Medical Physician Assistant · Wilmington, NC
Justin Toth, PA-C is a medical physician assistant with a practice address in Wilmington, North Carolina, and NPI 1952785131, issued on Jul 16, 2015. Check the license (North Carolina 0010-05859, as entered in NPPES) with the North Carolina board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Justin Toth
- Credential
- PA-C
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 0010-05859 NC
Self-reported in NPPES; status is on the state search - Practice location
- 5115 Oleander Dr, Wilmington, NC 28403
- Phone
- (910) 362-1011
- Enumerated
- Jul 16, 2015
- Record last updated
- Jul 16, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20150915001283); accepts Medicare assignment
- Medical or professional school
- Eastern Virginia Medical School, 2015
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 1,352 in North Carolina → Look up another NPI →
Also registered at 5115 Oleander Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gabriella BasdekisMedical Physician Assistant1215709878
- Callie Brinker, PA-CPhysician Assistant1013741974
- Kunal Dalal, M.D.Gastroenterology Physician1497065338
- Cameron DenglerPhysician Assistant1952922106
- Russell Dolan, MDGastroenterology Physician1093162661
- Robert Henihan, M.D.Gastroenterology Physician1912950403
Verify Justin Toth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license 0010-05859Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
19% more Medicare Part D claims than the average medical physician assistant in 2024
1,368 Medicare Part D claims for 435 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 17% of claims.
Most prescribed
- Omeprazole315 claims
- Pantoprazole Sodium194 claims
- Esomeprazole Magnesium81 claims
- Dicyclomine Hcl68 claims
- Ondansetron Odt65 claims
- Linzess57 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,381.94
72 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Wilmington Gastroenterology Associates, PAWilmington, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Justin Toth among 1,352 medical physician assistant records in North Carolina
Justin Toth, PA-C is one of 1,352 medical physician assistant records with a practice address in North Carolina. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 67% of them.
- NPI issued2015 · 67% of these records are older, 29% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 49% of these records are
- Graduated2015 · median 2013 among the 663 with a school on file
- Record last updated2015 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in North Carolina
There are 1,352 medical physician assistant records in North Carolina.
All 1,352 in North Carolina → Every provider in Wilmington → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Larry Arrowood, P.A.Wilmington, NC 284031124027636
- Gabriella BasdekisWilmington, NC 284031215709878
- Heather Goldstein, PAWilmington, NC 284031447204631
- James Helm, PA-CWilmington, NC 284031073742235
- Teresa Holler, P.A.Wilmington, NC 284031528247244
- Kim Meyer, PA-CWilmington, NC 284031225214919
- Gabrielle Neal-Barney, MMS, PA-CWilmington, NC 284031932387842
- Jennifer PrestonWilmington, NC 284031073542502
Common questions
What is Justin Toth, PA-C's NPI number?
Justin Toth, PA-C's National Provider Identifier (NPI) is 1952785131, issued on Jul 16, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Justin Toth, PA-C located?
The NPPES record lists a practice address at 5115 Oleander Dr, Wilmington, NC, 28403. Phone: (910) 362-1011. Providers update this record themselves, so call before visiting.
How can I verify Justin Toth, PA-C's license?
NPPES lists North Carolina license number 0010-05859, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
How much does Justin Toth, PA-C prescribe under Medicare Part D?
In 2024, Justin Toth, PA-C had 1,368 Medicare Part D claims for 435 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
What is Justin Toth, PA-C's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.