TIMOTHY TOOLE M.D.
NPI 1316200397
Emergency Medicine in Chicago, IL

Active since June 24, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
7435 W TALCOTT AVE, RESURRECTION EM RESIDENCY, CHICAGO, IL 60631(773) 792-7921 Get Directions Write a Review

NPPES record last updated: June 24, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy Toole M.d. NPPES

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

TIMOTHY TOOLE M.D. (NPI 1316200397) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125-061630) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2012).

NPPES Registry Identity

NPI1316200397
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY TOOLECredential: M.D.
Location Address7435 W TALCOTT AVE, RESURRECTION EM RESIDENCYChicago, IL 60631-3707
Mailing Address7435 W Talcott Ave, Resurrection Em ResidencyChicago, IL 60631-3707
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateJune 24, 2012
NPI 1316200397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 125-061630
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

7435 W TALCOTT AVE, Chicago, IL 60631

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

Timothy 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 ID7113238973
PECOS Enrollment IDI20150619001137
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
505 services482 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
254 services250 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
99 services97 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
98 services95 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Emergency Medicine
7435 W TALCOTT AVE
CHICAGO, IL 60631
Pathology (Anatomic Pathology & Clinical Pathology)
7435 W TALCOTT AVE, RESURRECTION MEDICAL CENTER
CHICAGO, IL 60631
Pathology (Anatomic Pathology & Clinical Pathology)
7435 W TALCOTT AVE, RESURRECTION MEDICAL CENTER
CHICAGO, IL 60631
Emergency Medicine
7435 W TALCOTT AVE, RESURRECTION MEDICAL CENTER
CHICAGO, IL 60631
Emergency Medicine
7435 W TALCOTT AVE, RESURRECTION MEDICAL CENTER
CHICAGO, IL 60631
Emergency Medicine
7435 W TALCOTT AVE, RESURRECTION MEDICAL CENTER
CHICAGO, IL 60631
Pharmacist
7435 W TALCOTT AVE
CHICAGO, IL 60631
Pharmacist (Pharmacotherapy)
7435 W TALCOTT AVE, RESURRECTION MEDICAL CENTER - PHARMACY
CHICAGO, IL 60631

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316200397, enumerated as an "individual" on June 24, 2012.

The provider is located at 7435 W TALCOTT AVE RESURRECTION EM RESIDENCY CHICAGO, IL 60631 and the phone number is (773) 792-7921.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma and Molina. Please consult your insurance carrier or call the provider to verify.

Timothy Toole is affiliated with: SAINT FRANCIS HOSPITAL, INC.