Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SEAN MICHAEL O TOOLE MD
NPI 1306578695
Hospitalist in Augusta, GA

Q: What is Sean O Toole's NPI number?

The NPI number for Sean O Toole is 1306578695. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Q: What is Sean O Toole's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Sean O Toole was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 June 27, 2022PECOS Enrolled

1120 15TH ST # BI5070, AUGUSTA, GA 30912(706) 721-2423 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2026, May 14, 2026 (2 updates tracked since 2026).

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About Sean Michael O Toole Md NPPES

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

SEAN MICHAEL O TOOLE MD (NPI 1306578695) is an individual hospitalist provider in Augusta, Georgia, licensed in Texas (W4396) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1306578695

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameSEAN MICHAEL O TOOLECredential: MD

Location Address1120 15TH ST # BI5070Augusta, GA 30912-0004

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-4000 · Fax (210) 358-8002

Phone(706) 721-2423

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2022

Enumeration DateJune 27, 2022

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1306578695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in TX · W4396

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 14295 (GA), W4396 (TX)

1120 15TH ST # BI5070, Augusta, GA 30912

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Secondary Practice Location 1

Location 14502 Medical DrSan Antonio, TX 78229-4492 · Phone (210) 358-4000 · Fax (210) 358-8002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Sean Michael O 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 ID2769862788

PECOS Enrollment IDI20250813004504

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.

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110034

Location1120 15th StreetAugusta, GA 30912 · Richmond County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

DR. MOHAMMAD UMAIR AZAM MD

Internal Medicine