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MS. KELLY ANN O'TOOLE NP
NPI 1033710009
Nurse Practitioner - Adult Health in East Setauket, NY

Active since November 05, 2020PECOS Enrolled
98.52/100
CMS Quality Rating
4 TECHNOLOGY DR STE 210, EAST SETAUKET, NY 11733(631) 331-1506(631) 331-5364 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2021, Nov 5, 2020 (2 updates tracked since 2020).

About Ms. Kelly Ann O'toole Np NPPES

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

MS. KELLY ANN O'TOOLE NP (NPI 1033710009) is an individual adult health provider in East Setauket, New York, licensed in New York (309897) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033710009
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. KELLY ANN O'TOOLECredential: NP
Location Address4 TECHNOLOGY DR STE 210East Setauket, NY 11733-4068
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 331-1506 · Fax (631) 331-5364
Phone(631) 331-1506
Fax(631) 331-5364
Sole ProprietorNo
Enumeration DateNovember 5, 2020
Last NPPES UpdateJanuary 9, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1033710009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309897
4 TECHNOLOGY DR STE 210, East Setauket, NY 11733
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Ann O'toole Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Kelly O'toole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Family And Preventive Medicine, University Faculty Practic
2.2 mi
Family Medicine
SUNY @ STONY BROOK, HSC, L4, RM 050
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 55 clinicians in this Medicare group
NPI 1982659470 (631) 444-2306

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers20 claims66 services$6.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kelly O'toole's NPI number?

The NPI number for Kelly O'toole is 1033710009. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Where is Kelly O'toole located?

Kelly O'toole practices at 4 Technology Dr Ste 210, East Setauket, NY 11733. The listed phone number is (631) 331-1506.

What is Kelly O'toole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kelly O'toole enrolled in Medicare?

Yes. Kelly O'toole is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly O'toole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly O'toole reassigns Medicare benefits to Stony Brook Family And Preventive Medicine, University Faculty Practic (Stony Brook, NY). The 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 Kelly O'toole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly O'toole was last updated on January 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.