JOHN MATTHEW TOOLE MD
NPI 1609803121
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charleston, SC
About John Matthew Toole Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MATTHEW TOOLE MD (NPI 1609803121) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Charleston, South Carolina, licensed in South Carolina (24359) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Emory University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
John Matthew Toole Md 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours-St Francis Xavier Hospital
Acute Care Hospitals · Charleston, SCTrident Medical Center
Acute Care Hospitals · Charleston, SCRoper Hospital
Acute Care Hospitals · Charleston, SCMount Pleasant Hospital
Acute Care Hospitals · Mount Pleasant, SCRoper St Francis Hospital-Berkeley Inc
Acute Care Hospitals · Summerville, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
CHARLESTON, SC 29401
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 John Toole's NPI number?
The NPI number for John Toole is 1609803121. It was assigned to this individual provider in the NPPES registry on June 28, 2006.
Where is John Toole located?
John Toole practices at 316 Calhoun St, Charleston, SC 29401. The listed phone number is (843) 720-8490.
What is John Toole's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is John Toole enrolled in Medicare?
Yes. John 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 John Toole accept?
Health plans from First Choice Next list John 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 John Toole affiliated with any hospitals?
According to CMS data, John Toole is affiliated with Bon Secours-St Francis Xavier Hospital, Trident Medical Center, Roper Hospital, Mount Pleasant Hospital and Roper St Francis Hospital-Berkeley Inc.
When was this NPI record last updated?
The NPPES record for John Toole was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John Matthew Toole, MD · NPI 1609803121
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1609803121 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 24359 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 316 CALHOUN ST, Charleston, SC 29401-1113
- **Phone:** (843) 720-8490 · **Fax:** (843) 727-3602
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Emory University School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** January 19, 2021
- **Other identifiers:** Medicaid 243597 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1609803121) · Data from the CMS NPPES public registry.