NPPES file of Aug 9, 2026

Robert J. Toltzis, M.D.

Cardiovascular Disease Physician · Newport, KY

Robert J. Toltzis, M.D. is a cardiovascular disease physician with a practice address in Newport, Kentucky, and NPI 1265480677, issued on May 5, 2006. Check the license (Kentucky 42449, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265480677
Name
Robert J. Toltzis
Credential
M.D.
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License numbers
42449 KY
01037357A IN
Self-reported in NPPES; status is on the state search
Practice location
1400 Grand Ave, Newport, KY 41071
Phone
(859) 905-3073
Enumerated
May 5, 2006
Record last updated
Nov 8, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(859) 441-1460
Medicaid IDs
100387000 IN
64781883 KY
0507580 OH
Medicare enrollment
Enrolled (PECOS I20060530000008); accepts Medicare assignment
Medical or professional school
Hahnemann University College Of Medicine, 1974
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1400 Grand Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Richard Abrahamson, MDOphthalmology Physician1598747792
  2. Noah Allen, M.D.Urology Physician1992095038
  3. Ngozika Anusionwu, M.DInternal Medicine Physician1003043787
  4. Laura Barczewski, M.D.Family Medicine Physician1043575145
  5. Laura Bertrand, M.D.Urology Physician1104997238
  6. Johnson Britto, M.D.Infectious Disease Physician1659513216

Verify Robert J. Toltzis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 42449
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

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29% more Medicare Part D claims than the average cardiovascular disease physician in 2024

3,962 Medicare Part D claims for 621 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.

  1. Robert Toltzis3,962
  2. Specialty average3,078

Most prescribed

  1. Eliquis538 claims
  2. Metoprolol Succinate308 claims
  3. Metoprolol Tartrate235 claims
  4. Carvedilol227 claims
  5. Xarelto219 claims
  6. Losartan Potassium158 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 MIPS final score for 2023 (Medicare payment program): 90.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,183.46

73 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Robert Toltzis$1,183.46
  2. Specialty average$3,819.56

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

  1. Proscan Radiology, LLCCincinnati, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Robert J. Toltzis among 284 cardiovascular disease physician records in Kentucky

Robert J. Toltzis, M.D. is one of 284 cardiovascular disease physician records with a practice address in Kentucky. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.

  • NPI issued2006 · 18% of these records are older, 43% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1974 · median 1998 among the 216 with a school on file
  • Record last updated2021 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Kentucky

There are 284 cardiovascular disease physician records in Kentucky.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Darek Sanford, M.D.Newport, KY 410711932442175
  2. Kami Tehrani, D.O.Newport, KY 410711649302290
  3. Eric Lohman, MDMaysville, KY 410561801863873
  4. Arvin Ejaz, M.D.Florence, KY 410421659533008
  5. Swapnil Garg, MDFlorence, KY 410421386175909
  6. Nitesh Gautam, MDFlorence, KY 410421114533619
  7. Jeffrey Reichard, M.D.Florence, KY 410421326045329
  8. Robert Strickmeyer, M.D.Florence, KY 410421184621179

Common questions

What is Robert J. Toltzis, M.D.'s NPI number?

Robert J. Toltzis, M.D.'s National Provider Identifier (NPI) is 1265480677, issued on May 5, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Robert J. Toltzis, M.D. located?

The NPPES record lists a practice address at 1400 Grand Ave, Newport, KY, 41071. Phone: (859) 905-3073. Providers update this record themselves, so call before visiting.

How can I verify Robert J. Toltzis, M.D.'s license?

NPPES lists Kentucky license number 42449, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Robert J. Toltzis, M.D. prescribe under Medicare Part D?

In 2024, Robert J. Toltzis, M.D. had 3,962 Medicare Part D claims for 621 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Robert J. Toltzis, M.D.'s MIPS final score?

The 2023 MIPS final score is 90.4 of 100. 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.