MEGAN TOOLE MD
NPI 1184035172
Internal Medicine - Interventional Cardiology in Lewisville, TX

Active since May 13, 2014PECOS EnrolledAccepts Medicare Assignment
500 HUTCHINSON LN, LEWISVILLE, TX 75077(850) 590-1736 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Jul 19, 2023 (2 updates tracked since 2023).

About Megan Toole Md NPPES

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

MEGAN TOOLE MD (NPI 1184035172) is an individual interventional cardiology provider in Lewisville, Texas, licensed in Texas (T8669) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Grapevine, and is a graduate of Meharry Medical College School Of Medicine (2014).

NPPES Registry Identity

NPI1184035172
Entity TypeIndividualFemale
Primary Taxonomy207RI0011X
Provider Legal NameMEGAN TOOLECredential: MD
Location Address500 HUTCHINSON LNLewisville, TX 75077-3390
Mailing Address500 Hutchinson LnLewisville, TX 75077-3390 · (850) 590-1736
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2014
Enumeration DateMay 13, 2014
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
NPI 1184035172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses Licensed in TX · T8669 Licensed in MS · 24654
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
500 HUTCHINSON LN, Lewisville, TX 75077

Other Identifiers 1

OtherT2856MS · Mississippi State Board Of Medical Licensure

Accepted Insurance

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

Megan 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 ID2264751544
PECOS Enrollment IDI20231002000611
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 23

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 of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
169 services168 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
148 services137 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
94 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
93 services89 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.
88 services76 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
85 services85 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

The Heart Hospital Baylor Denton

Acute Care Hospitals · Denton, TX
5/5 CMS rating
OwnershipPhysician
CMS Certification Number450893
Location2801 South Mayhill RoadDenton, TX 76208 · Denton County
Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75077 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Megan Toole's NPI number?

The NPI number for Megan Toole is 1184035172. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Megan Toole located?

Megan Toole practices at 500 Hutchinson Ln, Lewisville, TX 75077. The listed phone number is (850) 590-1736.

What is Megan Toole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Megan Toole enrolled in Medicare?

Yes. Megan 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.

What insurance does Megan Toole accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Megan 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 Megan Toole affiliated with any hospitals?

According to CMS data, Megan Toole is affiliated with Baylor Scott & White Medical Center Grapevine, The Heart Hospital Baylor Denton and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Megan Toole was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.