Toby Johnson, MD - Medicare Hand Surgery in Fresno, CA

Toby Johnson, MD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Fresno, California. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1630 E Herndon Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 256-5200.

Toby Johnson is licensed to practice in California (license number A87693) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144203258.

Contact Information

Toby Johnson, MD
1630 E Herndon Ave,
Fresno, CA 93720-3305
(559) 256-5200
(559) 256-5376

Map and Direction




Physician's Profile

Full NameToby Johnson
GenderMale
SpecialityHand Surgery
Experience25 Years
Location1630 E Herndon Ave, Fresno, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Toby Johnson graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1144203258
  • Provider Enumeration Date: 11/22/2005
  • Last Update Date: 07/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042247298
  • Enrollment ID: I20210804001542

Medical Identifiers

Medical identifiers for Toby Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144203258NPI-NPPES
0196688OtherCASTATE OF WASHINGTON
P00276609OtherCARAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0106XOrthopaedic Surgery - Hand Surgery A87693 (California)Primary
207XS0106XOrthopaedic Surgery - Hand Surgery 12294965-1205 (Utah)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Orem Community HospitalOrem, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Utah Clinic Pc7517868508391

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Toby Johnson allows following entities to bill medicare on his behalf.
Entity NameCentral Utah Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093764805
PECOS PAC ID: 7517868508
Enrollment ID: O20040113000805

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Toby Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Toby Johnson, MD
1055 N 500 W, Att Credentialing,
Provo, UT 84604-3305

Ph: (801) 354-8225
Toby Johnson, MD
1630 E Herndon Ave,
Fresno, CA 93720-3305

Ph: (559) 256-5200

Reviews and Comments


Orthopaedic Surgery Doctors in Fresno, CA

Eric Hanson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Robert Michele Mochizuki, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7255 N Cedar Ave, Suite 102, Fresno, CA 93720
Phone: 559-433-3374    Fax: 559-432-3378
Paramjeet Gill, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Jerome R Dunklin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Samia Abdul Ghaffar, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 45 E River Park Pl W Ste 104, Fresno, CA 93720
Phone: 559-320-0530    Fax: 559-320-0532
William Timothy Brox, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    
Edward A Lembert, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7235 N 1st St, Suite 103, Fresno, CA 93720
Phone: 559-432-2600    Fax: 559-432-8518

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.