Medicare Enrolled

Dr. Constantine Toumbis, MD, PHD

Orthopaedic Surgery of the Spine Physician · Crystal River, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Mixed engagement
6099 W GULF TO LAKE HWY, Crystal River, FL 34429
3527946868
In practice since 2007 (19 years)
NPI: 1386781409 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Toumbis from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Toumbis

Dr. Constantine Toumbis is an orthopaedic surgery of the spine physician in Crystal River, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Toumbis performed 1,752 Medicare services across 1,257 unique beneficiaries.

Between the years covered by Open Payments, Dr. Toumbis received a total of $1,728,778 from 10 pharmaceutical and/or device companies across 71 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Toumbis is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 28% volume in FL $1,728,778 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 80012 Clear January 31, 2028
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
1,752
Medicare services
Top 28% in FL for orthopaedic surgery of the spine physician
1,257
Unique beneficiaries
$419
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~92 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Injection, methylprednisolone acetate, 40 mg 510 $6 $20
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
251 $99 $597
Sacral spine nerve root injection with imaging guidance
An injection of anesthetic and/or steroid medication into a sacral spine nerve root. The procedure uses imaging guidance to ensure accurate placement.
134 $187 $1,212
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
106 $131 $782
X-ray of lower and sacral spine, 2-3 views
An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area.
95 $29 $181
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
81 $216 $1,280
Injection into lower spine canal with imaging guidance
A procedure where a substance is injected into the lower part of the spinal canal. The injection is performed using imaging guidance to ensure accurate placement.
73 $191 $1,256
X-ray of lower and sacral spine, minimum of 4 views
An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints.
68 $38 $229
Spinal stabilization device placement
Surgical procedure to stabilize a fractured vertebra in the lower spine by inserting a supportive device.
56 $4,301 $30,524
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
52 $50 $422
Spinal fracture stabilization with imaging guidance
A procedure to stabilize a broken bone in the middle spine by placing a device, using imaging guidance during the treatment.
47 $4,441 $30,640
Lower back spinal fusion with bone and disc removal
A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area.
38 $1,476 $9,166
X-ray of upper spine, 4-5 views
An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area.
31 $39 $235
Placement of stabilizing device to back of 1 spine bone in neck
A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck.
28 $621 $3,771
Partial removal of spine bone with nerve release during fusion
This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion.
26 $212 $1,185
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
25 $69 $519
Spinal stabilization device, each additional segment
Placement of a stabilizing device on an additional segment of a broken spine bone. This code is used for each extra segment treated beyond the initial one.
23 $2,281 $16,443
X-ray of upper spine, 2-3 views
An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures.
23 $29 $181
Injection of anesthetic or steroid into sacroiliac joint with imaging guidance
This procedure involves injecting an anesthetic or steroid medication into the joint connecting the lower spine and hip bone. Imaging guidance is used to ensure accurate placement of the injection.
22 $117 $796
Spinal fusion with disc removal and nerve release, 1 disc
This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve.
18 $1,449 $8,463
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc 17 $338 $1,979
Spinal stabilization device placement, 2-3 segments
Surgical placement of a device to stabilize the front of two to three spinal segments.
14 $620 $3,633
X-ray of middle spine, 2 views
An X-ray imaging test that produces two views of the middle section of the spine to visualize the bones and joints.
14 $26 $150
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
10.3% high complexity
44.9% medium
44.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$1,728,778
Total received (2018-2024)
Avg $246,968/year across 7 years
Top 2% in FL for orthopaedic surgery of the spine physician
10
Companies
71
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$1,728,336 (100.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$442 (0.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$212,435
2023
$179,541
2022
$196,453
2021
$233,186
2020
$279,063
2019
$336,259
2018
$291,841

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Alphatec Spine, Inc
$901,881
Hyhte Holdings Inc.
$826,455
Stryker Corporation
$150
Medtronic, Inc.
$91
Spineology Inc.
$67
Aesculap Implant Systems, LLC
$47
Amgen Inc.
$36
Merit Medical Systems Inc
$24
ConvaTec Inc.
$14
Zimmer Biomet Holdings, Inc.
$13
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
ARCADIUS C · Arsenal Degen · Arsenal Degenerative · CANYON RETRACTOR SYSTEMS · ENDOSKELETON TC NANOLOCK SURFACE TECHNOLOGY · EVENITY · INNOVAMATRIX PD · KYPHON EXPRESS II KYPHOPAK TRAY · Mobi-C · Novel · O-ARM · OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM · Olympic MIS · Other - Miscellaneous · SPINEJACK · Solanas · StabiliT
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 2% for orthopaedic surgery of the spine physician in FL.

Equivalent to $98,675 per 100 Medicare services performed
Looking for an orthopaedic surgery of the spine physician in Crystal River?
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Geographic Context

Orthopaedic surgery of the spine physicians within 10 mi
3
Per 100K population
1.9
County median income
$55,355
Nearest hospital
TAMPA GENERAL HOSPITAL CRYSTAL RIVER
6.6 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Toumbis is a clinical cardiology specialist, with above-average Medicare volume (top 28% in FL), with mixed engagement industry engagement in the top 2% of FL peers, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Toumbis experienced with injection, methylprednisolone acetate, 40 mg?
Based on Medicare claims data, Dr. Toumbis performed 510 injection, methylprednisolone acetate, 40 mg services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Toumbis receive payments from pharmaceutical companies?
Yes. Dr. Toumbis received a total of $1,728,778 from 10 companies across 71 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Toumbis's costs compare to other orthopaedic surgery of the spine physicians in Crystal River?
Dr. Toumbis's average Medicare payment per service is $419. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Toumbis) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →