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David M Toor, MD

Emergency Medicine · Mountain View

NPI 1053641290

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Sutter Bay Medical Foundation · 3,783 clinicians in this group

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Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Toor’s office at (650) 691-6174 to ask if they take your plan before you enroll.

California Medical Board record

Licence A110510 · Current

Licensed to practise in California · since 2009 · expires 2027-06-30 · Virginia Commonwealth University, Medical College of Virginia.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$42,675

Medicare paid this office $42,675 for 350 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Return visit (30+ min)147$17,230$113
New patient visit (45+ min)75$9,629$128
Short return visit (20+ min)72$5,721$78
New patient visit (30+ min)44$3,784$86
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus20$2,796$140
See all 7 services
Every Original Medicare service billed
Return visit (30+ min)147$17,230$113
New patient visit (45+ min)75$9,629$128
Short return visit (20+ min)72$5,721$78
New patient visit (30+ min)44$3,784$86
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus20$2,796$140
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)11$178$16
Urinalysis, manual test30$106$3

Who their Medicare patients are

350 Original Medicare patients in 2024. Average age 78 · Women 63% · Also on Medicaid 9% · Health risk score 0.91. At or below the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 61% · Coronary heart disease 21% · Chronic kidney disease 21% · Diabetes 17% · Cancer 17% · Atrial fibrillation 15% · Heart failure 11% · Depression 11% · COPD 8% · Dementia 5% · Stroke 3%.

The office billed $155,112, Medicare allowed $59,181 and paid $42,675; for 537 services of 38 kinds; $104 of it was for drugs given in the office and $42,571 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024350537780.91$155,112$42,675
20233181,512780.99$143,513$40,212
2022248426742.20$235,220$40,020
2021435798732.01$388,443$76,463
2020477855732.09$340,904$76,411
2019409741742.39$230,738$58,710
20186681,219732.41$388,386$97,000
20177681,443712.27$460,489$119,540
20167071,292712.27$411,450$98,629
2015577992712.34$330,055$81,018
20146491,093702.19$350,720$86,363
20137031,130702.23$357,114$85,078

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Return visit (30+ min)89$11,244$124
New patient visit (45+ min)68$9,580$141
Short return visit (20+ min)87$7,080$80
New patient visit (30+ min)53$5,003$94
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen30$1,508$50
Urinalysis, manual test51$174$3

2022: 6 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making143$22,226$155
Critical care, first 30-74 minutes47$10,231$218
Emergency department visit with moderate level of medical decision making35$3,482$94
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only149$1,042$7
Emergency department visit with low level of medical decision making15$714$48
Electrocardiogram (ecg) 1 to 3 leads with review by physician only11$49$4

2021: 7 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making271$45,291$165
Critical care, first 30-74 minutes70$16,667$235
Emergency department visit with moderate level of medical decision making59$6,267$104
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only275$2,171$7
Initial hospital observation care per day, typically 70 minutes12$2,063$172
Emergency department visit with low level of medical decision making18$1,103$61
Electrocardiogram (ecg) 1 to 3 leads with review by physician only26$162$6

2020: 5 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making311$49,998$158
Critical care, first 30-74 minutes58$13,359$223
Emergency department visit with moderate level of medical decision making76$6,968$92
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only314$2,682$8
Emergency department visit with low level of medical decision making33$1,749$53

2019: 7 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making247$36,253$146
Critical care, first 30-74 minutes53$10,252$193
Emergency department visit with moderate level of medical decision making67$6,825$100
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only269$2,191$8
Emergency department visit with low level of medical decision making33$1,802$53
Emergency department visit with straightforward medical decision making15$569$36
X-ray of chest, 1 view15$123$8

2018: 7 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making402$60,058$145
Critical care, first 30-74 minutes77$14,687$191
Emergency department visit with moderate level of medical decision making134$12,918$96
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only413$3,387$7
Emergency department visit with low level of medical decision making54$2,709$50
Emergency department visit with straightforward medical decision making12$398$33
X-ray of chest, 1 view27$222$8

2017: 7 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making515$79,953$155
Critical care, first 30-74 minutes75$15,890$212
Emergency department visit with moderate level of medical decision making119$12,360$104
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only465$3,952$8
Emergency department visit with low level of medical decision making59$3,267$54
X-ray of chest, 1 view, front71$630$9
X-ray of chest, 2 views, front and side24$314$13

2016: 9 services

Original Medicare services billed in 2016
Emergency department visit with high level of medical decision making469$67,856$142
Emergency department visit with moderate level of medical decision making117$11,459$97
Critical care, first 30-74 minutes52$9,415$181
Emergency department visit with low level of medical decision making57$2,990$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only376$2,953$7
Emergency department visit with straightforward medical decision making18$651$34
X-ray of chest, 1 view, front72$562$8
X-ray of chest, 2 views, front and side19$175$9
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only20$161$7

2015: 7 services

Original Medicare services billed in 2015
Emergency department visit with high level of medical decision making376$54,445$142
Emergency department visit with moderate level of medical decision making101$9,567$94
Critical care, first 30-74 minutes47$9,007$188
Emergency department visit with low level of medical decision making49$2,485$51
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only313$2,483$7
Emergency department visit with straightforward medical decision making14$450$32
X-ray of chest, 1 view, front12$96$8

2014: 7 services

Original Medicare services billed in 2014
Emergency department visit with high level of medical decision making413$59,798$142
Emergency department visit with moderate level of medical decision making119$10,879$90
Critical care, first 30-74 minutes31$5,869$189
Emergency department visit with low level of medical decision making86$4,169$47
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only341$2,602$7
Emergency department visit with straightforward medical decision making21$726$35
X-ray of chest, 1 view, front12$96$8

2013: 6 services

Original Medicare services billed in 2013
Emergency department visit with high level of medical decision making375$52,560$138
Emergency department visit with moderate level of medical decision making147$13,488$88
Critical care, first 30-74 minutes40$7,274$182
Emergency department visit with low level of medical decision making137$6,541$47
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only339$2,433$7
Emergency department visit with straightforward medical decision making20$705$34

Medicaid work

$10,377 in 2022

Medicaid paid $10,377 for 261 billed services this clinician did in 2022, up to 35 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2022
EMERGENCY DEPARTMENT VISIT HIGH MDM129$6,591
EMERGENCY DEPT VISIT MOD MDM69$3,112
EMERGENCY DEPT VISIT LOW MDM16$397
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only47$277
Medicaid work by year
2022261435$10,377
2021652435$22,406
2020722441$24,701
2019403424$16,978
2018843628$31,519
See the largest Medicaid services in earlier years

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM350$18,217
EMERGENCY DEPT VISIT MOD MDM61$2,335
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only229$1,510
EMERGENCY DEPT VISIT LOW MDM12$343

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM306$17,696
EMERGENCY DEPT VISIT MOD MDM141$4,454
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only237$1,696
EMERGENCY DEPT VISIT LOW MDM38$855

2019

Largest Medicaid services in 2019
EMERGENCY DEPARTMENT VISIT HIGH MDM242$13,141
EMERGENCY DEPT VISIT MOD MDM56$1,903
EMERGENCY DEPT VISIT LOW MDM76$1,667
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only29$267

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM401$22,308
EMERGENCY DEPT VISIT MOD MDM146$5,631
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only200$1,844
EMERGENCY DEPT VISIT LOW MDM70$1,693
COMPREHENSIVE METABOLIC PANEL13$25
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count13$18

Drugs they prescribed that Part D paid

$2,028

Pharmacies billed $2,028 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 7% of their Part D prescriptions (13 of 197) in 2024. At or below the middle of the specialty; the typical emergency medicine clinician is at 12%.

171 generic and 26 brand-name prescriptions · $2,028 in drug cost · 109 antibiotic prescriptions to 87 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Amoxicillin-Clavulanate Potass34$171$5
Azithromycin22$92$4
Nitrofurantoin Mono-Macro14$92$6
Doxycycline Monohydrate16$89$6
Hydrocodone-Acetaminophen12$47$4

Year by year

Part D prescribing by year
20241971537% (13)13%$2,028
2023160136None8%$6,561
20226246NoneNone$10,061
2021917117% (15)None$967
2020916625% (23)None$1,955
20198152None20%$2,660
201817512416% (28)None$3,372
201716411217% (28)9%$2,828
201615810721% (33)8%$2,827
201513910832% (44)9%$2,505
201414111040% (56)None$1,808
201314710835% (51)8%$6,199

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 5 drugs

Part D drugs prescribed in 2023
Cephalexin28$300$11
Paxlovid (Eua)19$179$9
Nitrofurantoin Mono-Macro11$154$14
Amoxicillin-Clavulanate Potass23$145$6
Azithromycin15$73$5

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin16$99$6

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin15$113$8
Hydrocodone-Acetaminophen14$57$4

2020: 1 drug

Part D drugs prescribed in 2020
Hydrocodone-Acetaminophen21$93$4

2018: 6 drugs

Part D drugs prescribed in 2018
Polyethylene Glycol 335012$286$24
Doxycycline Hyclate11$198$18
Cephalexin19$117$6
Hydrocodone-Acetaminophen25$107$4
Ondansetron Odt13$57$4
Prednisone11$42$4

2017: 4 drugs

Part D drugs prescribed in 2017
Cephalexin20$90$5
Azithromycin11$88$8
Hydrocodone-Acetaminophen25$85$3
Prednisone13$54$4

2016: 2 drugs

Part D drugs prescribed in 2016
Hydrocodone-Acetaminophen30$176$6
Cephalexin18$134$7

2015: 2 drugs

Part D drugs prescribed in 2015
Hydrocodone-Acetaminophen39$204$5
Cephalexin19$137$7

2014: 2 drugs

Part D drugs prescribed in 2014
Hydrocodone-Acetaminophen48$259$5
Cephalexin16$128$8

2013: 2 drugs

Part D drugs prescribed in 2013
Hydrocodone-Acetaminophen47$286$6
Cephalexin17$161$9

Professional record

NPI
1053641290
Licence
CA A110510California A110510: Current · expires 2027-06-30
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2010-01-11
NPI last updated
2023-01-10
NPI record certified
2023-01-10

This is when the NPI record was last certified, not a medical board exam.