RICHARD NORMAN TOOLEY M.D.
NPI 1295727824
Surgery in Traverse City, MI
About Richard Norman Tooley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD NORMAN TOOLEY M.D. (NPI 1295727824) is an individual surgery provider in Traverse City, Michigan, licensed in Michigan (RT052793) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of University Of Michigan Medical School (1992).
NPPES Registry Identity
Specialties & Licenses
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Other Identifiers 1
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
Richard Norman Tooley 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Healthcare Grayling Hospital
Acute Care Hospitals · Grayling, MIMunson Healthcare Cadillac Hospital
Acute Care Hospitals · Cadillac, MIMunson Medical Center
Acute Care Hospitals · Traverse City, MIMunson Healthcare Otsego Memorial Hospital
Acute Care Hospitals · Gaylord, MIChippewa County War Memorial Hospital
Acute Care Hospitals · Sault Sainte Marie, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TRAVERSE CITY, MI 49684
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 Richard Tooley's NPI number?
The NPI number for Richard Tooley is 1295727824. It was assigned to this individual provider in the NPPES registry on August 19, 2005.
Where is Richard Tooley located?
Richard Tooley practices at 1221 6th St Suite 306, Traverse City, MI 49684. The listed phone number is (231) 935-2400.
What is Richard Tooley's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Richard Tooley enrolled in Medicare?
Yes. Richard Tooley 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 Richard Tooley accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Richard Tooley 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 Richard Tooley affiliated with any hospitals?
According to CMS data, Richard Tooley is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Cadillac Hospital, Munson Medical Center, Munson Healthcare Otsego Memorial Hospital and Chippewa County War Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Richard Tooley was last updated on December 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
