2026 NPPES data Surgery Physician NPI 1295915536 M.D.
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Toby Enniss, M.D.

Surgery Physician in Salt Lake City, Utah. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
21
Medicare Part D claims · 17 beneficiaries · Surgery Physician avg: 169
MIPS score
99.8/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$811.82
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Toby Enniss, M.D. reported a CMS MIPS final score of 99.8/100 - above the 83.1 national average - and filed 21 Medicare Part D claims in 2023.

99.8/100
MIPS score · +17 vs avg
21
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Toby Enniss, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

100 Top 9% higher than 91% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Toby Enniss, M.D. sits

This provider among surgery physician peers

Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Toby Enniss, M.D. writes more Part D claims than 10% of them and scores higher on MIPS quality than 92% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 7Toby Enniss, M.D.-Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgery physician peer from a representative sample of 60; the gold marker is Toby Enniss, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Toby Enniss, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Toby Enniss, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/03/2007

NPI 1295915536

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

21 88% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

99.8/100 16.7 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Surgery Physician compares to other specialties among Utah providers

Utah providers

Largest specialties in Utah (% of in-state providers)

Behavior Technician - 12.4%Behavior Technician12.4%Clinical Social Worker - 6.3%Clinical Social Worker6.3%Community Health Worker - 6.1%Community Health Worker6.1%Case Manager/Care Coordinator - 5.9%Case Manager/Care Coordinator5.9%Counselor - 4.9%Counselor4.9%Student in an Organized Health Care Education/Training Program - 4.3%Student in an Organized Health Care Education/Training Program4.3%Surgery Physician - 0.4%Surgery Physician0.4%
Largest specialties in Utah (% of in-state providers)

Medicare quality performance, MIPS

Toby Enniss, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
99.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) - 99.8/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Surgery Physician) - 99.8/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Toby Enniss, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 30 N. 1900 EAST, MREB 307, Salt Lake City, UT, 84132, with a listed phone of (801) 585-7280. NPI 1295915536 was issued on 11/03/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Enniss most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 21 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $110 in drug spend. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.8/100 for the 2023 performance year (Quality 89.1), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

30 N. 1900 EAST, MREB 307
Salt Lake City, UT 84132

Provider Details

NPI 1295915536
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 11/03/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

99.7742
Final Score
Avg: 83.1
89.0558
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Toby Enniss, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

University OF Utah Acuity Care Services
Salt Lake City, UT
University OF Utah Adult Services
Salt Lake City, UT

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Toby Enniss, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$812

Largest payer

CSL Behring

Most common payment type

Travel and Lodging

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

21
Total Claims
$110
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21
Total Day Supply
119
Brand Drug Cost
$0
Generic Drug Cost
$110

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.13

Surgery Physician Overview

How Toby Enniss, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

Toby Enniss, M.D.'s 21 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Utah

Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Enniss.

Compare Surgery Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Utah medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Toby Enniss, M.D.'s specialty?
Toby Enniss, M.D. specializes in Surgery Physician and practices in Salt Lake City, Utah. Credentials: M.D..
How much does Toby Enniss, M.D. prescribe under Medicare Part D?
In 2023, Toby Enniss, M.D. wrote 21 Medicare Part D claims totaling $110 in drug costs for 17 beneficiaries.
What is Toby Enniss, M.D.'s Medicare quality score?
Toby Enniss, M.D. has a CMS MIPS Final Score of 99.8/100 (Quality: 89.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Toby Enniss, M.D. located?
Toby Enniss, M.D. is located at 30 N. 1900 EAST, MREB 307, Salt Lake City, UT, 84132. Phone: (801) 585-7280.
What is Toby Enniss, M.D.'s NPI number?
Toby Enniss, M.D.'s National Provider Identifier (NPI) is 1295915536, issued on 11/03/2007.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does Toby Enniss, M.D. accept Medicare?
Toby Enniss, M.D. appears in CMS Medicare data with 21 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Toby Enniss, M.D.'s credentials?
Toby Enniss, M.D.'s NPI is 1295915536 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.