Toby L. Anderton, M.D.
NPI 1225359474ActiveIndividual· Orthopaedic Surgery· Twin Falls, ID
Orthopaedic Surgery (M.D.) in Twin Falls, Idaho, trained at State University of Ny Upstate Medical University (class of 2010). 223 Medicare patients in 2024, $67,735 paid; nearly all of their 1,042 Part D prescriptions were generic (99%). Zimmer Biomet Holdings, Inc. was the largest of 5 companies reporting payments in 2025, $1,486 in all, mostly travel and lodging.
Overview
| NPI | 1225359474 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 22, 2010 |
| Last updated in NPPES | Sep 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | M14513 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (ID); Practitioner - Orthopedic Surgery (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 223 |
|---|---|
| Services billed | 9,695 across 55 procedure codes |
| Paid by Medicare | $67,735 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,042 · 1,482 30-day fills |
|---|---|
| Patients | 315 |
| Total drug cost | $11,312 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Orthopedic Surgery |
Medical groups
- Acute Care Surgery Medical Group IncTwin Falls, ID · 204 clinicians
- North Canyon Medical Center IncGooding, ID · 74 clinicians
Hospital affiliations
- North Canyon Medical CenterGooding, ID
- St Lukes Magic Valley Medical CenterTwin Falls, ID
Other facilities
- Idaho Home Health & HospiceHome health agency · Twin Falls, ID
- Visions Home Health & Visions Home Care LLCHome health agency · Twin Falls, ID
Industry payments (Open Payments)
- 2025$1,486 · 11 payments from 5 companies
- 2024$3,509 · 7 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $1,223 | 7 |
| Miach Orthopaedics, Inc. | $181.01 | 1 |
| Total Joint Orthopedics, Inc. | $50.00 | 1 |
| Vertex Pharmaceuticals Incorporated | $17.39 | 1 |
| Innovation Technologies Inc | $14.79 | 1 |
What the 2025 payments were for
- Travel and Lodging$1,031 · 4 payments
- Food and Beverage$455.39 · 7 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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