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Dr. Constantine A Toumbis  Md,Phd image

Dr. Constantine A Toumbis Md,Phd

950 N Avalon Way
Lecanto FL 34461
352 462-2663
Medical School: Wayne State University School Of Medicine - 1998
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: ME0080012
NPI: 1386781409
Taxonomy Codes:
207XS0117X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Constantine A Toumbis is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:22630 Description:Lumbar spine fusion Average Price:$3,362.00 Average Price Allowed
By Medicare:
$826.01
HCPCS Code:22633 Description:Lumbar spine fusion combined Average Price:$4,459.00 Average Price Allowed
By Medicare:
$1,980.28
HCPCS Code:22551 Description:Neck spine fuse&remov bel c2 Average Price:$4,183.00 Average Price Allowed
By Medicare:
$1,821.21
HCPCS Code:22554 Description:Neck spine fusion Average Price:$3,044.00 Average Price Allowed
By Medicare:
$708.69
HCPCS Code:63267 Description:Excise intraspinal lesion Average Price:$3,075.00 Average Price Allowed
By Medicare:
$1,229.09
HCPCS Code:22612 Description:Lumbar spine fusion Average Price:$3,399.00 Average Price Allowed
By Medicare:
$1,670.65
HCPCS Code:63042 Description:Laminotomy single lumbar Average Price:$2,763.00 Average Price Allowed
By Medicare:
$1,050.36
HCPCS Code:63081 Description:Removal of vertebral body Average Price:$3,594.00 Average Price Allowed
By Medicare:
$1,912.36
HCPCS Code:63075 Description:Neck spine disk surgery Average Price:$3,108.00 Average Price Allowed
By Medicare:
$1,481.28
HCPCS Code:63047 Description:Removal of spinal lamina Average Price:$2,378.00 Average Price Allowed
By Medicare:
$888.16
HCPCS Code:22850 Description:Remove spine fixation device Average Price:$1,518.00 Average Price Allowed
By Medicare:
$414.27
HCPCS Code:22842 Description:Insert spine fixation device Average Price:$1,879.00 Average Price Allowed
By Medicare:
$831.09
HCPCS Code:22846 Description:Insert spine fixation device Average Price:$1,876.00 Average Price Allowed
By Medicare:
$838.15
HCPCS Code:22015 Description:I&d p-spine l/s/ls Average Price:$1,740.00 Average Price Allowed
By Medicare:
$711.79
HCPCS Code:22845 Description:Insert spine fixation device Average Price:$1,804.00 Average Price Allowed
By Medicare:
$808.44
HCPCS Code:22840 Description:Insert spine fixation device Average Price:$1,822.00 Average Price Allowed
By Medicare:
$830.86
HCPCS Code:22523 Description:Percut kyphoplasty thor Average Price:$1,326.00 Average Price Allowed
By Medicare:
$586.30
HCPCS Code:22524 Description:Percut kyphoplasty lumbar Average Price:$1,270.00 Average Price Allowed
By Medicare:
$546.69
HCPCS Code:22634 Description:Spine fusion extra segment Average Price:$1,216.00 Average Price Allowed
By Medicare:
$540.67
HCPCS Code:22851 Description:Apply spine prosth device Average Price:$999.00 Average Price Allowed
By Medicare:
$445.58
HCPCS Code:22614 Description:Spine fusion extra segment Average Price:$964.00 Average Price Allowed
By Medicare:
$426.10
HCPCS Code:22552 Description:Addl neck spine fusion Average Price:$962.00 Average Price Allowed
By Medicare:
$427.69
HCPCS Code:72156 Description:Mri neck spine w/o & w/dye Average Price:$772.92 Average Price Allowed
By Medicare:
$313.80
HCPCS Code:22585 Description:Additional spinal fusion Average Price:$822.00 Average Price Allowed
By Medicare:
$367.49
HCPCS Code:72158 Description:Mri lumbar spine w/o & w/dye Average Price:$696.21 Average Price Allowed
By Medicare:
$303.92
HCPCS Code:22310 Description:Treat spine fracture Average Price:$655.00 Average Price Allowed
By Medicare:
$281.97
HCPCS Code:22310 Description:Treat spine fracture Average Price:$655.00 Average Price Allowed
By Medicare:
$309.61
HCPCS Code:63076 Description:Neck spine disk surgery Average Price:$610.00 Average Price Allowed
By Medicare:
$274.10
HCPCS Code:22525 Description:Percut kyphoplasty add-on Average Price:$611.70 Average Price Allowed
By Medicare:
$275.84
HCPCS Code:72141 Description:Mri neck spine w/o dye Average Price:$478.85 Average Price Allowed
By Medicare:
$198.18
HCPCS Code:72148 Description:Mri lumbar spine w/o dye Average Price:$466.81 Average Price Allowed
By Medicare:
$198.32
HCPCS Code:73221 Description:Mri joint upr extrem w/o dye Average Price:$456.65 Average Price Allowed
By Medicare:
$194.78
HCPCS Code:73721 Description:Mri jnt of lwr extre w/o dye Average Price:$454.50 Average Price Allowed
By Medicare:
$196.28
HCPCS Code:63048 Description:Remove spinal lamina add-on Average Price:$488.00 Average Price Allowed
By Medicare:
$232.12
HCPCS Code:70544 Description:Mr angiography head w/o dye Average Price:$449.00 Average Price Allowed
By Medicare:
$193.54
HCPCS Code:J7321 Description:Hyalgan/supartz inj per dose Average Price:$312.00 Average Price Allowed
By Medicare:
$90.73
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$297.75 Average Price Allowed
By Medicare:
$130.12
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$301.00 Average Price Allowed
By Medicare:
$162.74
HCPCS Code:99222 Description:Initial hospital care Average Price:$249.00 Average Price Allowed
By Medicare:
$136.05
HCPCS Code:G0180 Description:MD certification HHA patient Average Price:$161.00 Average Price Allowed
By Medicare:
$52.60
HCPCS Code:38220 Description:Bone marrow aspiration Average Price:$140.00 Average Price Allowed
By Medicare:
$31.73
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$213.00 Average Price Allowed
By Medicare:
$106.14
HCPCS Code:20610 Description:Drain/inject joint/bursa Average Price:$165.14 Average Price Allowed
By Medicare:
$73.50
HCPCS Code:20605 Description:Drain/inject joint/bursa Average Price:$141.71 Average Price Allowed
By Medicare:
$59.75
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$181.00 Average Price Allowed
By Medicare:
$104.45
HCPCS Code:72291 Description:Perq verte/sacroplsty fluor Average Price:$148.00 Average Price Allowed
By Medicare:
$75.33
HCPCS Code:20552 Description:Inj trigger point 1/2 muscl Average Price:$123.20 Average Price Allowed
By Medicare:
$54.17
HCPCS Code:72070 Description:X-ray exam of thoracic spine Average Price:$78.71 Average Price Allowed
By Medicare:
$32.75
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$116.06 Average Price Allowed
By Medicare:
$70.65
HCPCS Code:72100 Description:X-ray exam of lower spine Average Price:$81.75 Average Price Allowed
By Medicare:
$36.62
HCPCS Code:72080 Description:X-ray exam of trunk spine Average Price:$76.16 Average Price Allowed
By Medicare:
$33.87
HCPCS Code:73030 Description:X-ray exam of shoulder Average Price:$73.90 Average Price Allowed
By Medicare:
$32.92
HCPCS Code:73560 Description:X-ray exam of knee 1 or 2 Average Price:$73.83 Average Price Allowed
By Medicare:
$36.29
HCPCS Code:72040 Description:X-ray exam of neck spine Average Price:$75.20 Average Price Allowed
By Medicare:
$39.28
HCPCS Code:72170 Description:X-ray exam of pelvis Average Price:$61.71 Average Price Allowed
By Medicare:
$26.41
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$74.00 Average Price Allowed
By Medicare:
$38.73
HCPCS Code:73510 Description:X-ray exam of hip Average Price:$73.00 Average Price Allowed
By Medicare:
$38.77
HCPCS Code:73500 Description:X-ray exam of hip Average Price:$56.64 Average Price Allowed
By Medicare:
$26.46
HCPCS Code:73110 Description:X-ray exam of wrist Average Price:$64.00 Average Price Allowed
By Medicare:
$37.49
HCPCS Code:73565 Description:X-ray exam of knees Average Price:$61.28 Average Price Allowed
By Medicare:
$35.82
HCPCS Code:J1040 Description:Methylprednisolone 80 MG inj Average Price:$19.00 Average Price Allowed
By Medicare:
$6.72
HCPCS Code:J1030 Description:Methylprednisolone 40 MG inj Average Price:$9.00 Average Price Allowed
By Medicare:
$3.52

HCPCS Code Definitions

99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
22634
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; each additional interspace and segment (List separately in addition to code for primary procedure)
63048
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)
63042
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar
63047
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar
63267
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar
73500
Radiologic examination, hip, unilateral; 1 view
63081
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment
J7321
Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose
73030
Radiologic examination, shoulder; complete, minimum of 2 views
72156
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
72170
Radiologic examination, pelvis; 1 or 2 views
99222
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
70544
Magnetic resonance angiography, head; without contrast material(s)
J1040
Injection, methylprednisolone acetate, 80 mg
99231
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
72148
Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material
G0180
Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period
J1030
Injection, methylprednisolone acetate, 40 mg
72158
Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar
73221
Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)
22633
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar
20552
Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
20605
Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa)
20610
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
73110
Radiologic examination, wrist; complete, minimum of 3 views
22310
Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing
22015
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral
22630
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar
22310
Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing
22612
Arthrodesis, posterior or posterolateral technique, single level; lumbar (with lateral transverse technique, when performed)
22614
Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (List separately in addition to code for primary procedure)
22585
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)
22551
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2
22552
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for separate procedure)
22554
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2
63076
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure)
99204
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
63075
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace
72100
Radiologic examination, spine, lumbosacral; 2 or 3 views
72141
Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material
72080
Radiologic examination, spine; thoracolumbar, 2 views
72070
Radiologic examination, spine; thoracic, 2 views
72040
Radiologic examination, spine, cervical; 2 or 3 views
38220
Bone marrow; aspiration only
99204
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
22845
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)
22842
Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)
22840
Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure)
99203
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.
73721
Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material
73565
Radiologic examination, knee; both knees, standing, anteroposterior
73510
Radiologic examination, hip, unilateral; complete, minimum of 2 views
22850
Removal of posterior nonsegmental instrumentation (eg, Harrington rod)
22851
Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), methylmethacrylate) to vertebral defect or interspace (List separately in addition to code for primary procedure)
22846
Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure)
73560
Radiologic examination, knee; 1 or 2 views

Medical Malpractice Cases

Citrus County Florida
Case Number: 2010-CA-763
Incident Date: 02/14/2008
Settlemnt Date: 06/02/2011
Settlement: $281,250.00

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1972552065
Diagnostic Radiology
8,199
1093745705
Pain Management
5,070
1235120338
Internal Medicine
4,744
1073695755
Internal Medicine
4,426
1457392136
Internal Medicine
3,901
1215975719
Diagnostic Radiology
3,492
1407850365
Internal Medicine
3,178
1093706145
Diagnostic Radiology
2,891
1194790857
Internal Medicine
2,622
1689789380
General Practice
2,198
*These referrals represent the top 10 that Dr. Toumbis has made to other doctors

Publications

None Found

Map & Directions

950 N Avalon Way Lecanto, FL 34461
View Directions In Google Maps

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