MICHAEL JOHN O'TOOLE M.D.
NPI 1053422287
Surgery in Vancouver, WA
About Michael John O'toole M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL JOHN O'TOOLE M.D. (NPI 1053422287) is an individual surgery provider in Vancouver, Washington, licensed in Washington (MD00043475) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Kaiser Sunnyside Medical Center, and is a graduate of University Of Washington School Of Medicine (1996).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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 John O'toole M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Michael O'toole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1609171081 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kaiser Sunnyside Medical Center
Acute Care Hospitals · Clackamas, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANCOUVER, WA 98661
VANCOUVER, WA 98661
VANCOUVER, WA 98661
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 1053422287. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Mike Otoole.
Where is Michael O'toole located?
Michael O'toole practices at 2211 E Mill Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 619-4244.
What is Michael O'toole's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
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 organization bills Medicare for Michael O'toole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael O'toole reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). 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 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 Kaiser Permanente 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 Kaiser Sunnyside Medical Center.
When was this NPI record last updated?
The NPPES record for Michael O'toole was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Michael John O'toole, M.D. · NPI 1053422287
Surgery physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1053422287 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD00043475 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2211 E MILL PLAIN BLVD, Vancouver, WA 98661-4329
- **Phone:** (360) 619-4244
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1093043424, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** July 10, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1053422287) · Data from the CMS NPPES public registry.