NPPES file of Aug 9, 2026

Toby L. Anderton, M.D.

Orthopaedic Surgery Physician · Twin Falls, ID

Toby L. Anderton, M.D. is an orthopaedic surgery physician with a practice address in Twin Falls, Idaho, and NPI 1225359474, issued on Jun 22, 2010. Check the license (Idaho M14513, as entered in NPPES) on the Idaho Board of Medicine; 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
1225359474
Name
Toby L. Anderton
Credential
M.D.
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
M14513 ID
Self-reported in NPPES; status is on the state search
Practice location
2167 Village Park Ave, Twin Falls, ID 83301
Phone
(208) 735-3728
Enumerated
Jun 22, 2010
Record last updated
Sep 17, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(208) 735-3729
Medicare enrollment
Enrolled (PECOS I20190321000558); accepts Medicare assignment
Medical or professional school
State University Of Ny Upstate Medical University, 2010
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 2167 Village Park Ave

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

  1. Craig Manning, DCChiropractor1881626018

Verify Toby L. Anderton in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIdaho Board of Medicine
    Search for license M14513
    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 Idaho license search

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3.0 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024

1,042 Medicare Part D claims for 315 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 244 claims were for opioids.

  1. Toby Anderton1,042
  2. Specialty average346

Most prescribed

  1. Meloxicam181 claims
  2. Oxycodone Hcl117 claims
  3. Gabapentin95 claims
  4. Amoxicillin90 claims
  5. Methylprednisolone79 claims
  6. Hydrocodone-Acetaminophen65 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): 0 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 score0.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities0 of 40 points · 15%0.0

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

Industry payments in 2024: $3,509.07

7 payments; by number, the most common kind was food and beverage; the largest payer was MicroPort Orthopedics Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Toby Anderton$3,509
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Acute Care Surgery Medical Group IncTwin Falls, ID
  2. North Canyon Medical Center IncGooding, ID

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

Toby L. Anderton among 162 orthopaedic surgery physician records in Idaho

Toby L. Anderton, M.D. is one of 162 orthopaedic surgery physician records with a practice address in Idaho. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 77% of them.

  • NPI issued2010 · 77% of these records are older, 22% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2010 · median 2003 among the 116 with a school on file
  • Record last updated2019 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Idaho

There are 162 orthopaedic surgery physician records in Idaho.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Justin Dazley, M.D.Twin Falls, ID 833011851531289
  2. Matthew Gibbs, DOTwin Falls, ID 833011285263533
  3. John Howar, M.D.Twin Falls, ID 833011316940125
  4. Blake Johnson, M.D.Twin Falls, ID 833011619913381
  5. William May, M.D.Twin Falls, ID 833011720016231
  6. Rohn McKee, D.O.Twin Falls, ID 833011306899646
  7. James Retmier, M.D.Twin Falls, ID 833011609802339
  8. Mark Wright, M.D.Twin Falls, ID 833011295778223

Common questions

What is Toby L. Anderton, M.D.'s NPI number?

Toby L. Anderton, M.D.'s National Provider Identifier (NPI) is 1225359474, issued on Jun 22, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Toby L. Anderton, M.D. located?

The NPPES record lists a practice address at 2167 Village Park Ave, Twin Falls, ID, 83301. Phone: (208) 735-3728. Providers update this record themselves, so call before visiting.

How can I verify Toby L. Anderton, M.D.'s license?

NPPES lists Idaho license number M14513, as entered by the provider. Search the Idaho Board of Medicine at https://dopl.idaho.gov/bom/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Toby L. Anderton, M.D. prescribe under Medicare Part D?

In 2024, Toby L. Anderton, M.D. had 1,042 Medicare Part D claims for 315 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.

What is Toby L. Anderton, M.D.'s MIPS final score?

The 2023 MIPS final score is 0 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.