Medicare Enrolled

Dr. Mark Toma, M.D.

Otolaryngology/Facial Plastic Surgery Physician · Dearborn, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
2421 MONROE ST, Dearborn, MI 48124
3135624100
In practice since 2010 (16 years)
NPI: 1598083024 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. Toma 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. Toma

Dr. Mark Toma is an otolaryngology/facial plastic surgery physician in Dearborn, MI, with 16 years of NPI registration. Based on federal Medicare data, Dr. Toma performed 3,147 Medicare services across 1,069 unique beneficiaries.

Between the years covered by Open Payments, Dr. Toma received a total of $4,460 from 27 pharmaceutical and/or device companies across 87 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology/facial plastic surgery physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Toma is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 16 years in practice ▲ Top 13% volume in MI $4,460 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,147
Medicare services
Top 13% in MI for otolaryngology/facial plastic surgery physician
1,069
Unique beneficiaries
$34
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~197 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
Allergy immunotherapy preparation
A professional service involving the preparation and administration of one or more antigens.
1,258 $11 $26
Allergy injection therapy, multiple injections
A professional service involving the administration of multiple allergen injections.
468 $9 $25
Skin allergy test
A test where small amounts of potential allergens are injected into the skin to check for allergic reactions.
299 $6 $20
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.
293 $65 $115
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
244 $35 $70
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.
209 $99 $166
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.
128 $124 $240
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
80 $99 $195
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
57 $151 $290
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.
52 $79 $155
Middle ear function test
A diagnostic test used to evaluate how well the middle ear is functioning.
20 $13 $35
Comprehensive hearing and speech recognition test
A diagnostic evaluation that assesses hearing ability and the capacity to understand spoken words. The test measures how well a patient can detect sounds and recognize speech.
14 $29 $70
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
13 $141 $300
Head repositioning exercises for dizziness
A series of exercises performed to reposition the head, used to treat dizziness. The procedure is administered on a daily basis.
12 $32 $76
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.

Industry Payment Transparency

Open Payments through 2024 ↗
$4,460
Total received (2018-2024)
Avg $637/year across 7 years
Top 27% in MI for otolaryngology/facial plastic surgery physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
87
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.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,368 (97.9%)
Other
Charitable contributions, space rental, and other categories
$92 (2.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$391
2023
$951
2022
$820
2021
$505
2020
$295
2019
$821
2018
$677

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$287
AERIN MEDICAL INC.
$28
Hologic Sales and Service, LLC
$22
Acclarent, Inc
$21
Integra LifeSciences Corporation
$17
Regeneron Healthcare Solutions, Inc.
$15
Top 3 companies account for 86.3% of 2024 payments
All-time payments by company (2018-2024) ›
Intersect ENT, Inc.
$1,193
Medtronic, Inc.
$860
Acclarent, Inc
$482
Stryker Corporation
$447
Inspire Medical Systems, Inc.
$221
Boston Scientific Corporation
$205
Regeneron Healthcare Solutions, Inc.
$156
Medtronic USA, Inc.
$154
Cochlear Americas
$130
Baxter Healthcare
$92
OptiNose US, Inc.
$90
Kaleo, Inc.
$69
ALK-Abello, Inc
$60
Advanced Bionics, LLC
$44
Hikma Pharmaceuticals USA
$29
AERIN MEDICAL INC.
$28
Covidien LP
$24
Aerin Medical Inc.
$23
Hologic Sales and Service, LLC
$22
Xoran Technologies
$21
GENZYME CORPORATION
$19
Ethicon US, LLC
$18
Integra LifeSciences Corporation
$17
Mylan Specialty L.P.
$17
kaleo, Inc.
$16
GlaxoSmithKline, LLC.
$13
Checkpoint Surgical, Inc
$11
Top 3 companies account for 56.8% of all-time payments
Associated products mentioned in payments ›
ACCLARENT AERA · ACCLARENT NAVWIRE SINUS NAVIGATION GUIDEWIRE · ACCLARENT NAVWIRE Sinus Navigation Guidewire · AUVI-Q · Acclarent Aera · Acclarent Navwire · Auvi-Q · Checkpoint Stimulators · Cochlear · CoolSeal Generator · DUPIXENT · Dymista · ENTELLUS - ENTELLUS MEDICAL SHAVER SYSTEM · ENTELLUS - XPRESS ENT DILATION SYSTEM · FUSION · HIRES ULTRA CI HIFOCUS MS ELECTRODE · INSPIRE · LIGASURE · LigaSure · MINIFESS BLAKESLEY FORCEPS THRU-CUT STRAIGHT · MINIFESS SPHENOID SEEKER/FREER · MiniCAT · NSE - BIOIRESORBABLES · NUCALA · NUVENT · Nucleus · Odactra · PRE-PEN · PROPEL · PlasmaBlade · RELIEVA SPINPLUS · Ryaltris · SINUVA · STEALTHSTATION S8 PLATFORM · SURGICEL Family of Absorbable Hemostats · Sinuva · TruDi NAV Cable · VIVAER STYLUS · Vivaer RF Stylus · WaveWriter Alpha Prime 16 · XPRESS ENT DILATION SYSTEM · Xhance
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 →

Most payments (98%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an otolaryngology/facial plastic surgery physician in Dearborn?
Compare otolaryngology/facial plastic surgery physicians in the Dearborn area by procedure volume, costs, and industry payment transparency.
Browse otolaryngology/facial plastic surgery physicians nearby

Geographic Context

Otolaryngology/facial plastic surgery physicians within 10 mi
19
Per 100K population
1.1
County median income
$59,521
Nearest hospital
BEAUMONT HOSPITAL - DEARBORN
0.0 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 reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Toma is a clinical cardiology specialist, with above-average Medicare volume (top 13% in MI), with low-engagement industry engagement, with 16 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Toma experienced with allergy immunotherapy preparation?
Based on Medicare claims data, Dr. Toma performed 1,258 allergy immunotherapy preparation 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. Toma receive payments from pharmaceutical companies?
Yes. Dr. Toma received a total of $4,460 from 27 companies across 87 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. Toma's costs compare to other otolaryngology/facial plastic surgery physicians in Dearborn?
Dr. Toma's average Medicare payment per service is $34. 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. Toma) 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. Data Coverage reflects 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 →