Dr. Michael Toney, DO
#1 Hal's Plaza Drive, Piedmont, MO 63957 • +1-762-555-5245
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Piedmont Percentiles
NPI #1407880099 • CBSA Regional • General Practice
Anchored in Piedmont, MO 63957, Dr. Michael Toney, DO (NPI 1407880099) logged 1,473 annual procedures (top-decile high-throughput specialist (99th percentile in Piedmont), 40th MO percentile, -0.42σ) with sub-specialty concentration in 61 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1407880099 highlights 663 annual claims for 99214 (99th Piedmont percentile; $43–$60 self-pay corridor) plus 383 encounters under 99213 and 191 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Michael Toney in Piedmont (63957) face an estimated $209.00 initial evaluation fee at #1 Hal's Plaza Drive (in-person clinic visits only; 18-minute average reception wait; bedside manner 4.87/5 from 24 verified reports).
Credentialed as an DO specialist with 34 years post-graduation experience since completing medical school at an LCME/COCA institution (1992), Dr. Toney coordinates 61 Active CMS HCPCS Codes workups from #1 Hal's Plaza Drive (+1-762-555-5245).
Top 10% General Practice volume leader in Piedmont, MO
1,473 annual services across 194 beneficiaries
Standard deviations from MO General Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 663 | 99th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 383 | 99.5th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 191 | 95th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 147 | 99.5th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 88 | 98th | $60 – $83 |
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Dr. Michael Toney, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Toney National Provider Identifier | NPI #1407880099 (DO) | CMS NPPES Registry (63957) |
| Dr. Toney Piedmont CMS Volume Rank | 99.00th Pct (1,473 CMS svcs; Z -0.422σ) | CMS Medicare Part B (MO General Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Piedmont, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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