DR. CONSTANTINE A TOUMBIS (MD, PHD) – Orthopaedic Surgery of the Spine Physician, NPI 1386781409

DR. CONSTANTINE A TOUMBIS (MD, PHD) is a healthcare provider. based in Crystal river, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD, PHD. They hold a License No. ME0080012 (FL). The NPI Number for DR. CONSTANTINE A TOUMBIS (MD, PHD) is 1386781409

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. CONSTANTINE A TOUMBIS (MD, PHD)
NPI
1386781409
Phone
(352) 794-6868
Address
6099 W GULF TO LAKE HWY
Enumeration Date
30 January 2007
Last Update Date
6 January 2016

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3527946868
Graduation Year
1998 (28 years ago)
PAC ID
3476530437
Group Practice PAC ID
5698078525
Professional Enrollment ID
I20040707000821
Address ID
FL344298721CR6099XHWYX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for DR. CONSTANTINE A TOUMBIS (MD, PHD)

  • Gulf to Lake Highway, Crystal River, Citrus County, Florida, 34429, United States

    CRYSTAL RIVER, FL 344298721

    Phone: (352) 794-6868

    Fax: (352) 794-6869

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $391,976.

Total Amount is formed as General ($391,976) + Research ($0) + Ownership ($0) = $391,976.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Hyhte Holdings Inc. ($323,119).

Total Amount

$391,976

General + Research + Ownership

Payments

34

Total payment records

General Amount

$391,976

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040707000821IOrthopedic SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1030Injection, methylprednisolone acetate, 40 mg510158$0
99214Established patient office or other outpatient visit, 30-39 minutes251232$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level13490$0
99204New patient office or other outpatient visit, 45-59 minutes106106$0
72100X-ray of lower and sacral spine, 2-3 views9590$0
View full utilization report →

Insurance plans in this area (ZIP 34429)

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Provider's Procedures

DR. CONSTANTINE A TOUMBIS (MD, PHD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule1817
ORTHOPEDIC SURGERYFL62311Injections of substances into lower or sacral spine7262

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698078525View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find DR. CONSTANTINE A TOUMBIS (MD, PHD)'s NPI?
You can confirm DR. CONSTANTINE A TOUMBIS (MD, PHD) with NPI 1386781409; it appears in the national provider directory.
Is DR. CONSTANTINE A TOUMBIS (MD, PHD) currently active in the NPI registry?
CMS-published data lists DR. CONSTANTINE A TOUMBIS (MD, PHD) as an active registrant.
Can you summarize DR. CONSTANTINE A TOUMBIS (MD, PHD)'s specialty in plain language?
Clinically, the directory lists DR. CONSTANTINE A TOUMBIS (MD, PHD) with Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. CONSTANTINE A TOUMBIS (MD, PHD)?
The snapshot lists Crystal River, Florida for DR. CONSTANTINE A TOUMBIS (MD, PHD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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