What is Toby Paulson's specialty?

Toby Paulson (NPI 1235264169) is a Medicare-billing provider whose primary specialty is Cardiology in American Fork, UT.

Where does Toby Paulson practice?

Toby Paulson practices in American Fork, UT, based on the location reported in the CMS Medicare provider datasets for NPI 1235264169.

How much does Medicare pay Toby Paulson?

Toby Paulson (NPI 1235264169) received approximately $204K in total Medicare Part B payments, serving 736 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1235264169

Toby PaulsonD.O.

CardiologyAmerican Fork, UTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,698

Unique beneficiaries

—

Total services

2,234

Distinct HCPCS

Medicare payment

$183K

Peer benchmark

Total Medicare services vs. 97 Cardiology providers in UT — above median (cohort median 1,407).

PRESCRIBING · PART D · 2024

Total Rx claims

2,541

Beneficiaries

—

Total drug cost

$380K

Distinct drugs

Brand share

36.7%

Top prescribed drugs

Carvedilol167 claims

0.9 % Sodium Chloride146 claims

Atorvastatin Calcium112 claims

Ringer's Solution,lactated109 claims

Sacubitril/Valsartan103 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$4K

Payment records

By payment type

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$817

Top paying entities

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$3K

Food and Beverage$817

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (6)

Home health agency

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Toby Paulson's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 31 inbound referrers · 59 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
NPI 1356569917	164	422
Kishorbhai Gangani Internal Medicine · Arlington, TX	99	273
Paul Budnick Emergency Medicine · Payson, AZ	83	175
Siddharth Singhal Internal Medicine · Tucson, AZ	80	237
Nagendra Gupta Hospitalist · Payson, AZ	76	227
LESUEUR, CHRISTOPHER	44	114
Joilo Barbosa Emergency Medicine · Walla Walla, WA	40	80
Mark Solem Emergency Medicine · Payson, AZ	37	59
HARRISON, PATRICK	34	115
BANNER HEART HOSPITAL	33	92
Paul Gilbert Emergency Medicine · Chicago, IL	30	69
Shahul Valavoor Nephrology · Cincinnati, OH	30	86

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PAYSON HOSPITAL CORPORATION	440	1,480
Jeffrey Crosby Diagnostic Radiology · Payson, AZ	323	1,029
NPI 1356569917	155	295
Sonora Quest Laboratories Llc Clinical Laboratory · Phoenix, AZ	106	304
R M Arizona Holdings Inc Ambulance Service Provider · Payson, AZ	73	153
Kishorbhai Gangani Internal Medicine · Arlington, TX	73	201
Nagendra Gupta Hospitalist · Payson, AZ	62	240
Brent Gear Emergency Medicine · Phoenix, AZ	54	148
Siddharth Singhal Internal Medicine · Tucson, AZ	54	153
LESUEUR, CHRISTOPHER	49	156
Shahul Valavoor Nephrology · Cincinnati, OH	46	173
NPI 1619937232	45	245

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history