MICHAEL C O'TOOLE MD
NPI 1033167077
Obstetrics & Gynecology in Green Bay, WI

Q: What is Michael O'toole's NPI number?

The NPI number for Michael O'toole is 1033167077. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Michael O'toole's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael O'toole was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment

2641 DEVELOPMENT DRIVE, GREEN BAY, WI 54311(920) 338-6868(920) 338-6869 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Michael C O'toole Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL C O'TOOLE MD (NPI 1033167077) is an individual obstetrics & gynecology provider in Green Bay, Wisconsin, licensed in Wisconsin (44464-020) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of University Of Alabama School Of Medicine (1998).

NPPES Registry Identity

NPI1033167077

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMICHAEL C O'TOOLECredential: MD

Location Address2641 DEVELOPMENT DRIVEGreen Bay, WI 54311

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7229

Phone(920) 338-6868

Fax(920) 338-6869

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1998

Enumeration DateMay 4, 2006

Last NPPES UpdateAugust 8, 2017

✔ NPI 1033167077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · 44464-020

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2641 DEVELOPMENT DRIVE, Green Bay, WI 54311

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael C O'toole Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355535071

PECOS Enrollment IDI20101027000172, I20181128001484

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Michael O'toole reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc

0.9 mi

Family Medicine

1976 LIME KILN RD
Green Bay, WI 54311

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1346293941 (920) 406-9865

Oconto Hospital & Medical Center Inc

24 mi

Rural Health

575 4TH ST
Kewaunee, WI 54216

Reassigned Medicare billing, Wisconsin enrollment
573 clinicians in this Medicare group

NPI 1053279091 (920) 388-4640

Dickinson County Healthcare System

91 mi

Rehabilitation

500 ROOSEVELT RD
Niagara, WI 54151

Reassigned Medicare billing, Michigan enrollment
136 clinicians in this Medicare group

NPI 1043892003 (715) 251-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

19 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA SUSAN HAEN FNPC

Nurse Practitioner

2641 DEVELOPMENT DRIVE
GREEN BAY, WI 54311

Brown County (920) 338-6868

RANDI MANN NP

Nurse Practitioner

2641 DEVELOPMENT DRIVE
GREEN BAY, WI 54311

Brown County (920) 338-6868

NGOZI NWAMAKA MBAH M.D.

Obstetrics & Gynecology

2641 DEVELOPMENT DRIVE
GREEN BAY, WI 54311

Brown County (920) 338-6868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael O'toole's NPI number?

The NPI number for Michael O'toole is 1033167077. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Michael O'toole located?

Michael O'toole practices at 2641 Development Drive, Green Bay, WI 54311. The listed phone number is (920) 338-6868.

What is Michael O'toole's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael O'toole enrolled in Medicare?

Yes. Michael O'toole is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael O'toole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael O'toole reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Green Bay, WI), Oconto Hospital & Medical Center Inc (Kewaunee, WI) and Dickinson County Healthcare System (Niagara, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael O'toole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael O'toole accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Michael O'toole as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael O'toole affiliated with any hospitals?

According to CMS data, Michael O'toole is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael O'toole was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.