ADAM MICHAEL O'TOOLE M.D.
NPI 1467795575
Plastic Surgery in Pasadena, CA

Q: What is Adam O'toole's NPI number?

The NPI number for Adam O'toole is 1467795575. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Q: What is Adam O'toole's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Adam O'toole was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 March 27, 2013PECOS EnrolledAccepts Medicare Assignment

542 S FAIR OAKS AVE FL 1, PASADENA, CA 91105(626) 449-8910(626) 449-2155 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2022, Oct 27, 2022, Jul 21, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Adam Michael O'toole M.d. NPPES

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

ADAM MICHAEL O'TOOLE M.D. (NPI 1467795575) is an individual plastic surgery provider in Pasadena, California, licensed in California (A170617) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalispell, and is a graduate of Creighton University School Of Medicine (2013).

NPPES Registry Identity

NPI1467795575

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameADAM MICHAEL O'TOOLECredential: M.D.

Location Address542 S FAIR OAKS AVE FL 1Pasadena, CA 91105-2606

Mailing Address542 S Fair Oaks Ave Fl 1Pasadena, CA 91105-2606 · (626) 449-8910 · Fax (626) 449-2155

Phone(626) 449-8910

Fax(626) 449-2155

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2013

Enumeration DateMarch 27, 2013

Last NPPES UpdateApril 28, 20255 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1467795575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in CA · A170617✔ Licensed in MT · MED-PHYS-LIC-117418

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License 51129 (KY), A170617 (CA)

542 S FAIR OAKS AVE FL 1, Pasadena, CA 91105

Open in Google Maps ↗

Secondary Practice Location 1

Location 160 Four Mile Dr Ste 10Kalispell, MT 59901-2663 · Phone (406) 756-2241 · Fax (406) 758-7062

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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

Adam Michael O'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 ID4587961230

PECOS Enrollment IDI20211006002885

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services14 patients

Emergency department visit with low level of medical decision making 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.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

Leave this field empty

Other Providers at the Same Location NPPES

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

OTOOLE SURGICAL GROUP

Plastic Surgery

542 S FAIR OAKS AVE FL 1
PASADENA, CA 91105

Los Angeles County (310) 792-3914

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 Adam O'toole's NPI number?

The NPI number for Adam O'toole is 1467795575. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Adam O'toole located?

Adam O'toole practices at 542 S Fair Oaks Ave Fl 1, Pasadena, CA 91105. The listed phone number is (626) 449-8910.

What is Adam O'toole's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Adam O'toole enrolled in Medicare?

Yes. Adam O'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 Adam O'toole accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Adam O'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.

When was this NPI record last updated?

The NPPES record for Adam O'toole was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.