Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MICHAEL TOOLE M.D.
NPI 1396008918
Internal Medicine - Hematology & Oncology in Fort Wayne, IN

Q: What is Michael Toole's NPI number?

The NPI number for Michael Toole is 1396008918. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Michael Toole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Michael Toole was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 19, 2012PECOS Enrolled

81.23/100

CMS Quality Rating

11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(833) 724-8326(260) 425-6845 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Oct 10, 2022, Jul 9, 2021 and 1 more (4 updates tracked since 2018).

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About Michael Toole M.d. NPPES

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

MICHAEL TOOLE M.D. (NPI 1396008918) is an individual hematology & oncology provider in Fort Wayne, Indiana, licensed in Indiana (01079379A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Wabash.

NPPES Registry Identity

NPI1396008918

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameMICHAEL TOOLECredential: M.D.

Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(833) 724-8326

Fax(260) 425-6845

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJune 19, 2012

Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1396008918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in IN · 01079379A

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301100581 (MI)

11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Secondary Practice Location 1

Location 18 John Kissinger DrWabash, IN 46992-1648 · Phone (260) 269-2207 · Fax (260) 569-2994

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Michael 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 ID9032411996

PECOS Enrollment IDI20180524000444

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 10

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 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.

619 services194 patients

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.

112 services82 patients

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.

49 services47 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

25 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150091

Location2001 Stults RdHuntington, IN 46750 · Huntington County

Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150101

Location1260 E Sr 205Columbia City, IN 46725 · Whitley County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151310

Location10 John Kissinger DriveWabash, IN 46992 · Wabash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

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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.

JESSICA NICOLE HEFFNER

Registered Nurse (Oncology)