MELISSA O'TOOLE M.D.
NPI 1205838810
Radiology - Diagnostic Radiology in Houston, TX

Q: What is Melissa O'toole's NPI number?

The NPI number for Melissa O'toole is 1205838810. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is Melissa O'toole's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Melissa O'toole was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 August 12, 2005PECOS EnrolledAccepts Medicare Assignment

83.13/100

CMS Quality Rating

17080 RED OAK DR, HOUSTON, TX 77090(281) 880-6991 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Melissa O'toole M.d. NPPES

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

MELISSA O'TOOLE M.D. (NPI 1205838810) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (K3621) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare West, and is a graduate of University Of Texas Medical School At Houston (1996).

NPPES Registry Identity

NPI1205838810

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameMELISSA O'TOOLECredential: M.D.

Location Address17080 RED OAK DRHouston, TX 77090-2602

Mailing Address714 Fm 1960 Rd WHouston, TX 77090-3408 · (281) 880-6991

Phone(281) 880-6991

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1996

Enumeration DateAugust 12, 2005

Last NPPES UpdateMarch 19, 2009

✔ NPI 1205838810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in TX · K3621

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

17080 RED OAK DR, Houston, TX 77090

Open in Google Maps ↗

Other Identifiers 4

OtherP00063463TX · Railroad Medicare

Medicare UPINH28502TX

Medicare PIN8B3521TX

Medicare PIN8F5681TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Sendero Health Plans, Local Nonprofit.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

Melissa 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.

PECOS PAC ID6305732157

PECOS Enrollment IDI20040226001184

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 14

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

877 services582 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

875 services581 patients

Screening 3d breast mammography 77063

280 services280 patients

Screening mammography 77067

279 services279 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

152 services151 patients

Dxa bone density measurement of hip, pelvis, spine 77080

70 services70 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

43 services43 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

40 services40 patients

Complete ultrasound scan of 1 breast 76641

29 services29 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

28 services26 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

25 services25 patients

Diagnostic mammography of both breasts 77066

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

23 services23 patients

Diagnostic mammography of 1 breast 77065

15 services14 patients

Diagnostic mammography of both breasts 77066

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450644

Location12141 Richmond AveHouston, TX 77082 · Harris County

Emergency services Birthing friendly

Womans Hospital Of Texas,the

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450674

Location7600 FanninHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Tops Surgical Specialty Hospital

Acute Care Hospitals · Houston, TX

OwnershipPhysician

CMS Certification Number450774

Location17080 Red Oak DriveHouston, TX 77090 · Harris County

Hca Houston Healthcare Pearland

Acute Care Hospitals · Pearland, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670106

Location11100 Shadow Creek ParkwayPearland, TX 77584 · Brazoria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

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.

83.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.16

Improvement Activities

Other Providers at the Same Location NPPES 13

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

ELIZABETH BEANASH LAKEY

Student in an Organized Health Care Education/Training Program