MR. FRANK J TOOLE III PA
NPI 1093777302
Physician Assistant - Medical in Westerly, RI

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.9/100
CMS Quality Rating
81 BEACH ST, WESTERLY, RI 02891(401) 596-9039(401) 596-8750 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Frank J Toole Iii Pa NPPES

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

MR. FRANK J TOOLE III PA (NPI 1093777302) is an individual medical provider in Westerly, Rhode Island, licensed in Rhode Island (PA00242) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1993).

NPPES Registry Identity

NPI1093777302
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. FRANK J TOOLE IIICredential: PA
Location Address81 BEACH STWesterly, RI 02891
Mailing Address81 Beach StWesterly, RI 02891 · (401) 596-9039 · Fax (401) 596-8750
Fax(401) 596-8750
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1993
Enumeration DateApril 3, 2006
Last NPPES UpdateMarch 25, 2015
NPI 1093777302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in RI · PA00242
81 BEACH ST, Westerly, RI 02891

Other Identifiers 3

Medicare PIN209082059RI
Other979006084Medicare Pa Ptan
MedicaidN170172RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Frank J Toole Iii Pa 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 ID4789753849
PECOS Enrollment IDI20171103001518
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.

Areas of Expertise CMS Part B claims 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
148 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services22 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
21 services18 patients

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.

94.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Promoting Interoperability86
Improvement Activities40
Cost99.14

Other Providers at the Same Location NPPES 8

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

Orthopaedic Surgery
81 BEACH ST
WESTERLY, RI 02891
Physical Therapist
81 BEACH ST
WESTERLY, RI 02891
Pediatrics
81 BEACH ST
WESTERLY, RI 02891
Family Medicine
81 BEACH ST
WESTERLY, RI 02891
Hospice Care, Community Based
81 BEACH ST
WESTERLY, RI 02891
Physical Therapist
81 BEACH ST
WESTERLY, RI 02891
Clinic/Center (Medical Specialty)
81 BEACH ST
WESTERLY, RI 02891
Physical Therapist
81 BEACH ST
WESTERLY, RI 02891

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 Frank Toole's NPI number?

The NPI number for Frank Toole is 1093777302. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Frank Toole located?

Frank Toole practices at 81 Beach St, Westerly, RI 02891. The listed phone number is (401) 596-9039.

What is Frank Toole's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Frank Toole enrolled in Medicare?

Yes. Frank 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.

When was this NPI record last updated?

The NPPES record for Frank Toole was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.