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MICHELLE ERIN TOOLE FNP-BC
NPI 1336647536
Nurse Practitioner - Obstetrics & Gynecology in West Columbia, SC

Active since January 23, 2018PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
146 E HOSPITAL DR STE 240, WEST COLUMBIA, SC 29169(803) 936-7590(803) 936-7589 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2023, Nov 11, 2020, Oct 2, 2020 and 2 more (5 updates tracked since 2018).

About Michelle Erin Toole Fnp-bc NPPES

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

MICHELLE ERIN TOOLE FNP-BC (NPI 1336647536) is an individual obstetrics & gynecology provider in West Columbia, South Carolina, licensed in South Carolina (21607) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of University Of South Carolina School Of Medicine (2017).

NPPES Registry Identity

NPI1336647536
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMICHELLE ERIN TOOLECredential: FNP-BC
Location Address146 E HOSPITAL DR STE 240West Columbia, SC 29169-4800
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Phone(803) 936-7590
Fax(803) 936-7589
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2017
Enumeration DateJanuary 23, 2018
Last NPPES UpdateJanuary 17, 20235 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
✔ NPI 1336647536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in SC · 21607
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 21607 (SC)
146 E HOSPITAL DR STE 240, West Columbia, SC 29169
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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

Michelle Erin Toole Fnp-bc 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 ID8729341995
PECOS Enrollment IDI20180423000723
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Other Providers at the Same Location NPPES 9

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

LEXINGTON HEALTH INC
Obstetrics & Gynecology
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
NANCY PATRICIA SARMIENTO KLUGE DO
Obstetrics & Gynecology
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
JENNIFER A GREENE MD
Obstetrics & Gynecology
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
ALANA PATRICIA HICKS MD
Obstetrics & Gynecology
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
MRS. KAYLA BRUNSON RUTLAND FNP
Nurse Practitioner (Women's Health)
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
DR. BROOKE NICHOLE NAFFZIGER D.O.
Obstetrics & Gynecology
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
MARY KAITLIN WEEKS
Nurse Practitioner (Family)
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590
JENNY WALTZ RUSH APRN
Nurse Practitioner (Obstetrics & Gynecology)
146 E HOSPITAL DR STE 240
WEST COLUMBIA, SC 29169
Lexington County (803) 936-7590

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 Michelle Toole's NPI number?

The NPI number for Michelle Toole is 1336647536. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Where is Michelle Toole located?

Michelle Toole practices at 146 E Hospital Dr Ste 240, West Columbia, SC 29169. The listed phone number is (803) 936-7590.

What is Michelle Toole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Michelle Toole enrolled in Medicare?

Yes. Michelle 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 Michelle Toole accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Michelle 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 Michelle Toole affiliated with any hospitals?

According to CMS data, Michelle Toole is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Toole was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.