Internal Medicine, Hematology & Oncology · Huntington, WV
NPI
1396959995
Since 2007
Specialty
Internal Medicine, Hematology & Oncology
Code 207RH0003X
Group practices
1
Medicare group memberships
Hospitals
3
Hospital affiliations
1400 Hal Greer Blvd
Huntington, WV, 25701
Phone (304) 399-6610
Groups this clinician bills Medicare through
Medicare paid, 2024
$141K
1,763 services
Medicare patients, 2024
470
Average age 72
Drug cost, 2024
$6.1M
1,758 prescriptions
Company payments, 2025
$220
From 5 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Toni O Pacioles was code 99214 (office e&m - established), 834 times for 321 patients. In total Toni O Pacioles billed 1,763 services in 16 codes, and Medicare paid $141K.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2021-12-06.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| 99214 Office E&M - Established | Facility | 834 | 321 | $71.29 | $59K |
| 99215 Office E&M - Established | Facility | 323 | 104 | $107.77 | $35K |
| M0010 Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services | Facility | 159 | 29 | $73.04 | $12K |
| 99213 Office E&M - Established | Facility | 139 | 101 | $43.63 | $6,065 |
| 99205 Office E&M - New | Facility | 85 | 85 | $130.32 | $11K |
| 99223 Hospital E&M - Initial | Facility | 59 | 54 | $139.16 | $8,210 |
| 99232 Hospital E&M - Subsequent | Facility | 56 | 32 | $62.19 | $3,483 |
| 99442 Telephone Services | Facility | 39 | 21 | $48.38 | $1,887 |
| 99233 Hospital E&M - Subsequent | Facility | 34 | 17 | $95.37 | $3,242 |
| 99231 Hospital E&M - Subsequent | Facility | 16 | 16 | $39.96 | $639 |
By year: 2022 $147K for 1,644 services; 2023 $138K for 1,711 services; 2024 $141K for 1,763 services.
Medicare prescription drug claims, 2024
In 2024, the drug Toni O Pacioles prescribed most often to Medicare patients was Prednisone, with 121 prescriptions and refills. In total Toni O Pacioles wrote 1,758 Medicare prescriptions that cost $6.1M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Prednisone Generic | 121 | 129 | 42 | $550 |
| Ondansetron Hcl Generic | 109 | 111 | 67 | $3,329 |
| Abiraterone Acetate Generic | 81 | 81 | 12 | $188K |
| Gabapentin Generic | 78 | 86 | 14 | $809 |
| Eliquis Apixaban | 74 | 96 | 22 | $53K |
| Anastrozole Generic | 72 | 194 | 27 | $1,613 |
| Prochlorperazine Maleate Generic | 65 | 65 | 49 | $1,390 |
| Xtandi Enzalutamide | 54 | 54 | Under 11 | $697K |
| Tramadol Hcl Generic | 48 | 48 | 22 | $224 |
| Lenalidomide Generic | 43 | 43 | Under 11 | $528K |
| Alprazolam Generic | 37 | 37 | 13 | $200 |
| Letrozole Generic | 35 | 76 | 16 | $641 |
| Ibrance Palbociclib | 35 | 35 | Under 11 | $536K |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 34 | 34 | 16 | $622 |
| Potassium Chloride Generic | 29 | 29 | 23 | $184 |
Brand drugs: 489 claims; generic drugs: 1,269 claims; opioid claims: 121.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Toni O Pacioles $220 ($220 in general payments such as food, travel and fees) from 5 companies. The largest payer was Histosonics, Inc. with $142.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.