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

Q: 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.

Q: 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.

Q: 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.

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: August 23, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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

Quality

82.85

Promoting Interoperability

100

Improvement Activities

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.

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.