DR. JAMES EDWARD TOOLEY III M.D.
NPI 1366839474
Internal Medicine - Clinical Cardiac Electrophysiology in San Francisco, CA

Q: What is James Tooley's NPI number?

The NPI number for James Tooley is 1366839474. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Q: What is James Tooley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for James Tooley was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 16, 2015PECOS EnrolledAccepts Medicare Assignment

1100 VAN NESS AVE, SAN FRANCISCO, CA 94109(415) 600-6500 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2025, Jun 19, 2025, Nov 19, 2024 (3 updates tracked since 2024).

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About Dr. James Edward Tooley Iii M.d. NPPES

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

DR. JAMES EDWARD TOOLEY III M.D. (NPI 1366839474) is an individual clinical cardiac electrophysiology provider in San Francisco, California, licensed in California (A144729) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Yale University School Of Medicine (2015).

NPPES Registry Identity

NPI1366839474

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameDR. JAMES EDWARD TOOLEY IIICredential: M.D.

Location Address1100 VAN NESS AVESan Francisco, CA 94109-6978

Mailing AddressPo Box 276950Sacramento, CA 95827-6950 · (415) 600-6500 · Fax (415) 558-5359

Phone(415) 600-6500

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2015

Enumeration DateApril 16, 2015

Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration

NPPES CertifiedDecember 4, 2025

✔ NPI 1366839474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in CA · A144729

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

1100 VAN NESS AVE, San Francisco, CA 94109

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Secondary Practice Location 1

Location 11100 Van Ness AveSan Francisco, CA 94109-6978 · Phone (415) 600-6500 · Fax (415) 558-5359

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Edward Tooley Iii 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 ID5395271746

PECOS Enrollment IDI20241209001429

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.

Medicare Billing Reassignment

Medicare enrollment records show James Tooley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Bay Medical Foundation

15 mi

Multi-Specialty

12 CAMINO ENCINAS
Orinda, CA 94563

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1366898538 (510) 204-8180

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

30 services27 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

26 services22 patients

Programming of heart rhythm stimulation after drug infusion 93623

Programming of heart rhythm stimulation after drug infusion is a process to regulate your heartbeat. After a medication is administered into your body, a device is programmed to monitor and correct irregular heart rhythms, ensuring your heart functions optimally.

12 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services11 patients

Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm 93609

This procedure involves placing a tube into the heart's chambers to detect irregular heart rhythms. It helps doctors pinpoint the cause of rhythm issues by recording heart activity. It's a vital step in diagnosing and treating heart conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94109 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

CHIALIN LEE PA-C

Physician Assistant