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Dr. Annette Tobar, MD

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Specializes in: Adult Gastroenterology

Tufts University School of Medicine (2006)

Professional interests include: gastrointestinal problems (digestive disorders), endoscopy

172 Kinsley Street Second Floor, Upper Atrium
Nashua, NH 03060

(603) 578-9363

Dr. Annette Tobar, MD is a gastroenterologist in Nashua, NH specializing in adult gastroenterology. She graduated from Tufts University School of Medicine in 2006 and has 19 years of experience. Dr. Annette Tobar, MD is affiliated with St. Joseph Hospital and GRANITE STATE GASTROINTESTINAL CONSULTANTS PLLC.

Office Locations

Address:

172 Kinsley Street Second Floor, Upper Atrium
Nashua, NH 03060

Address:

8 Prospect Street
Nashua, NH 03060

Some issues Dr. Annette Tobar, MD can help you with:

Gastrointestinal Problems (Digestive Disorders)

The gastrointestinal system, or GI tract, is the name given to a collection of organs that work together to digest food. These organs fit together in a long tube, running from the mouth to the anus, and include the esophagus, stomach, and intestines, among others. With so many parts working together, complicated by today's busy lifestyles and diets, digestive problems are common. As many as 1 in 3 Americans have a digestive or GI disorder. There are a huge variety of digestive problems, but the most common are IBS, constipation, GERD, hemorrhoids, and ulcers.

IBS, or irritable bowel syndrome, happens when the muscles surrounding the colon contract too easily or frequently. The result is abdominal pain, cramps, diarrhea or constipation, gas and bloating. IBS attacks can often be brought on by specific triggers, so a key part of treatment is learning which foods trigger IBS attacks and avoiding them. Treatment also includes exercise, avoiding stress, and medications if needed.

Constipation, or large, hard, or infrequent stools, happens to everyone at some point. It can be caused by a disruption in routine or food, or by eating a diet without many fresh fruits and vegetables. Although it is uncomfortable, constipation is common and usually not serious, but it can sometimes become chronic. Adding fiber to the diet, exercising, and taking medications may help.

GERD, or gastroesophageal reflux disease, is a severe form of chronic heartburn where stomach acid spills back up into the esophagus. Left untreated, the acid may even eat away at the esophagus and cause serious damage. Treatment includes changing the diet to avoid trigger foods, losing weight if needed, medications, or even surgery.

Hemorrhoids are blood vessels around the rectum that become irritated, swollen or torn while straining during a bowel movement. They are most often caused by constipation, but can also be caused by pregnancy, diarrhea, or simply a genetic predisposition towards hemorrhoids. Treatment involves first treating any constipation issues, then keeping the area clean and soothed until it has healed. If these measures are ineffective, surgery is sometimes used.

Peptic ulcers are sores or spots of inflammation in the lining of the stomach or close to the stomach in the small intestine. Usually this area is coated with a protective lining that shields the tissue from the strong stomach acid, but a break in the lining can let acid in, causing the sores. It used to be thought that stress caused ulcers, but now it is known that is not the case. Most often, they are caused by an infection by H. pylori bacteria, but ulcers can also be caused by alcohol abuse or overuse of aspirin, ibuprofen, naproxen, or other NSAIDS. The symptoms of an ulcer are pain, hunger, nausea, and fatigue.

Gastrointestinal problems, perhaps more than any other area, are markedly affected by lifestyle. Many disorders can be prevented or treated at least in part by eating a healthy diet high in fiber, exercising regularly, drinking enough water, and limiting alcohol intake. Still, the frequency of digestive disorders means that even the healthiest person can be affected by them. Anyone who notices blood in their stool, experiences abdominal pain, unexplained weight loss, or any significant change in bowel movements should see a doctor.

diagnostic procedures	76
doctor visit	63
gastrointestinal procedures	83
hospital care	25
inpatient care	25
minimally invasive procedures	83
removal of lesion (e.g. growth)	76

**Gender**
Male	46
Female	83

**Age**
From 65 to 74	49
From 75 to 84	22
85 and over	15
Less than 65	43

Hypertension	71
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	26
Depression	41
Chronic Kidney Disease	22
Asthma	17
Osteoperosis	0
Atrial Fibrilation	12
Heart Failure	13
Chronic Obstructive Pulmonary Disease	18
Diabetes	26
Dementia	9
Cancer	0

diagnostic procedures	250
doctor visit	214
gastrointestinal procedures	320
hospital care	125
inpatient care	125
minimally invasive procedures	320
preventive care	27
removal of lesion (e.g. growth)	250

**Gender**
Male	266
Female	526

**Ethnicity**
Non-Hispanic White	738
Black	0
Hispanic	26
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	352
From 75 to 84	160
85 and over	78
Less than 65	202

Hypertension	68
High Cholesterol	58
Stroke	8
Ischemic Heart Disease	31
Depression	42
Chronic Kidney Disease	29
Asthma	19
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	20
Chronic Obstructive Pulmonary Disease	18
Diabetes	33
Dementia	9
Cancer	12

diagnostic procedures	230
doctor visit	155
gastrointestinal procedures	255
hospital care	41
inpatient care	41
minimally invasive procedures	255
removal of lesion (e.g. growth)	230

**Gender**
Male	98
Female	215

**Ethnicity**
Non-Hispanic White	284
Black	0
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	140
From 75 to 84	81
85 and over	19
Less than 65	73

Hypertension	68
High Cholesterol	63
Stroke	6
Ischemic Heart Disease	27
Depression	39
Chronic Kidney Disease	31
Asthma	23
Osteoperosis	10
Atrial Fibrilation	8
Heart Failure	17
Chronic Obstructive Pulmonary Disease	14
Diabetes	31
Dementia	8
Cancer	10

diagnostic procedures	307
doctor visit	163
gastrointestinal procedures	365
hospital care	38
inpatient care	38
minimally invasive procedures	365
preventive care	17
removal of lesion (e.g. growth)	307

**Gender**
Male	140
Female	240

**Ethnicity**
Non-Hispanic White	347
Black	0
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	176
From 75 to 84	93
85 and over	20
Less than 65	91

Hypertension	65
High Cholesterol	61
Stroke	4
Ischemic Heart Disease	27
Depression	39
Chronic Kidney Disease	31
Asthma	13
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	29
Dementia	8
Cancer	11

balloon dilation	21
diagnostic procedures	412
doctor visit	109
esophageal dilation	21
gastrointestinal procedures	500
hospital care	48
inpatient care	48
minimally invasive procedures	500
preventive care	30
removal of lesion (e.g. growth)	412

**Gender**
Male	180
Female	253

**Ethnicity**
Non-Hispanic White	395
Black	0
Hispanic	16
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	209
From 75 to 84	111
85 and over	29
Less than 65	84

Hypertension	68
High Cholesterol	68
Stroke	5
Ischemic Heart Disease	29
Depression	42
Chronic Kidney Disease	33
Asthma	14
Osteoperosis	7
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	18
Diabetes	33
Dementia	7
Cancer	11

balloon dilation	18
diagnostic procedures	420
doctor visit	130
esophageal dilation	18
gastrointestinal procedures	491
hospital care	87
injections	19
inpatient care	87
minimally invasive procedures	491
preventive care	9
removal of lesion (e.g. growth)	420

**Gender**
Male	176
Female	291

**Ethnicity**
Non-Hispanic White	430
Black	0
Hispanic	16
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	217
From 75 to 84	135
85 and over	30
Less than 65	85

Hypertension	69
High Cholesterol	69
Stroke	4
Ischemic Heart Disease	30
Depression	40
Chronic Kidney Disease	29
Asthma	13
Osteoperosis	11
Atrial Fibrilation	11
Heart Failure	15
Chronic Obstructive Pulmonary Disease	14
Diabetes	27
Dementia	9
Cancer	15

balloon dilation	33
diagnostic procedures	366
doctor visit	85
esophageal dilation	33
gastrointestinal procedures	440
hospital care	68
inpatient care	68
minimally invasive procedures	440
preventive care	31
removal of lesion (e.g. growth)	366

**Gender**
Male	143
Female	244

**Ethnicity**
Non-Hispanic White	357
Black	0
Hispanic	12
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	201
From 75 to 84	91
85 and over	25
Less than 65	70

Hypertension	68
High Cholesterol	67
Stroke	5
Ischemic Heart Disease	36
Depression	41
Chronic Kidney Disease	35
Asthma	13
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	16
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Dementia	8
Cancer	11

balloon dilation	42
diagnostic procedures	640
doctor visit	612
esophageal dilation	42
gastrointestinal procedures	772
hospital care	51
injections	10
inpatient care	51
minimally invasive procedures	772
preventive care	53
removal of lesion (e.g. growth)	640

Average Medicare Procedure Volume From 2014 - 2021

Volume of procedures performed by Dr. Annette Tobar, MD for Medicare patients.

The highest averages for the top procedures that Dr. Annette Tobar, MD treated as a gastroenterologist in Nashua, NH were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.

balloon dilation	28
diagnostic procedures	337
doctor visit	194
esophageal dilation	28
gastrointestinal procedures	406
hospital care	60
injections	14
inpatient care	60
minimally invasive procedures	406
preventive care	29
removal of lesion (e.g. growth)	337

Average Medicare Patient Data From 2014 - 2021

Information about Medicare patients treated by Dr. Annette Tobar, MD.

**Gender**
Male	104
Female	185

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	255
Native American / Alaskan Native	0
Hispanic	9
Other	0

**Age**
85 and over	21
75 to 84	69
Less than 65	64
65 to 74	134

Average of Total of Conditions of Medicare patients treated by Dr. Annette Tobar, MD From 2014 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Annette Tobar, MD treated were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	47
High Cholesterol	43
Stroke	3
Ischemic Heart Disease	20
Depression	28
Chronic Kidney Disease	21
Asthma	11
Osteoporosis	6
Heart Failure	11
Chronic Obstructive Pulmonary Disease	11
Diabetes	20
Atrial Fibrillation	8
Dementia	5
Cancer	7

Education & Training

Dr. Annette Tobar, MD graduated from Tufts University School of Medicine in 2006. She completed residency at Caritas St. Elizabeth's Medical Center. She is certified by the Diplomat, Gastroenterology, American Board of Internal Medicine Diplomat, Internal Medicine, American Board of Internal Medicine and has a state license in Massachusetts.

Medical School: Tufts University School of Medicine (2006)

Residency: Caritas St. Elizabeth's Medical Center

Board Certification: Diplomat, Gastroenterology, American Board of Internal Medicine Diplomat, Internal Medicine, American Board of Internal Medicine

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Annette Tobar, MD is associated with these hospitals and organizations:

St. Joseph Hospital

GRANITE STATE GASTROINTESTINAL CONSULTANTS PLLC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Annette Tobar, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AbbVie Inc.	$424 Skyrizi $223	Mavyret $67	Rinvoq $51	VIBERZI $23	Creon $22	Other $38
Salix Pharmaceuticals, a division of Bausch Health US, LLC	$401 XIFAXAN $337	Trulance $23	PLENVU $21	Uceris $20
Janssen Biotech, Inc.	$210 STELARA $174	SIMPONI $36
Takeda Pharmaceuticals U.S.A., Inc.	$198 ENTYVIO $169	MOTEGRITY $29
Gilead Sciences Inc	$131 Harvoni $117	$15
Other	$618 LINZESS $78	Humira $58	DIFICID $42	XELJANZ $40	SUPREP $39	Other $360

**Types of Payments**
Food and Beverage	$1,973
Education	$9

Biography

Dr. Annette Tobar is an adult gastroenterology specialist in Nashua, NH and Berlin, NH. She is professionally affiliated with Androscoggin Valley Hospital. After completing medical school at Tufts University School of Medicine, Dr. Tobar performed her residency at Caritas St. Elizabeth's Medical Center.

Select Year:

Dr. Annette Tobar, MD

Office Locations

Some issues Dr. Annette Tobar, MD can help you with:

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Annette Tobar, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2014 - 2021

Average Medicare Patient Data From 2014 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Annette Tobar, MD From 2014 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Nashua, NH