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THOMAS TOOLE
NPI 1336702091
Orthopaedic Surgery in Hamilton, NY

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
160 BROAD ST, HAMILTON, NY 13346(315) 824-7040(315) 501-1070 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2025, Apr 18, 2019 (2 updates tracked since 2019).

About Thomas Toole NPPES

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

THOMAS TOOLE (NPI 1336702091) is an individual orthopaedic surgery provider in Hamilton, New York, licensed in New York (332474) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, Inc, and is a graduate of State University Of Ny Upstate Medical University (2019).

NPPES Registry Identity

NPI1336702091
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS TOOLE
Location Address160 BROAD STHamilton, NY 13346-9575
Mailing Address150 Broad StHamilton, NY 13346-9575 · (315) 824-6549
Phone(315) 824-7040
Fax(315) 501-1070
Sole ProprietorYes
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2019
Enumeration DateApril 18, 2019
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1336702091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 332474
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 332474 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
160 BROAD ST, Hamilton, NY 13346
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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

Thomas Toole 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 ID749790152
PECOS Enrollment IDI20250605003003
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.

Community Memorial Hospital, Inc

Critical Access Hospitals · Hamilton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331316
Location150 Broad StreetHamilton, NY 13346 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13346 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 3

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

MARY F YOSHINO N.P.
Nurse Practitioner (Family)
160 BROAD ST
HAMILTON, NY 13346
Madison County (315) 825-3111
HAMILTON MEDICAL SERVICES PLLC
Family Medicine
160 BROAD ST
HAMILTON, NY 13346
Madison County (315) 824-6082
RICHARD M BUSCHATZKE M.D.
Family Medicine
160 BROAD ST
HAMILTON, NY 13346
Madison County (315) 825-3111

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 Thomas Toole's NPI number?

The NPI number for Thomas Toole is 1336702091. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Thomas Toole located?

Thomas Toole practices at 160 Broad St, Hamilton, NY 13346. The listed phone number is (315) 824-7040.

What is Thomas Toole's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Toole enrolled in Medicare?

Yes. Thomas 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.

Is Thomas Toole affiliated with any hospitals?

According to CMS data, Thomas Toole is affiliated with Community Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Toole was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.