KEVIN JOHN TOOL MD
NPI 1609840727
Obstetrics & Gynecology in Fort Collins, CO

Q: What is Kevin Tool's NPI number?

The NPI number for Kevin Tool is 1609840727. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is Kevin Tool's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Tool was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment

76.2/100

CMS Quality Rating

1107 S LEMAY AVE, SUITE 300, FORT COLLINS, CO 80524(970) 493-7442(970) 493-2990 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2020, May 3, 2018 (2 updates tracked since 2018).

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About Kevin John Tool Md NPPES

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

KEVIN JOHN TOOL MD (NPI 1609840727) is an individual obstetrics & gynecology provider in Fort Collins, Colorado, licensed in Colorado (36155) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Collins, and is a graduate of University Of Colorado School Of Medicine, Denver (1993).

NPPES Registry Identity

NPI1609840727

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameKEVIN JOHN TOOLCredential: MD

Location Address1107 S LEMAY AVE, SUITE 300Fort Collins, CO 80524-3957

Mailing Address1107 S Lemay Ave, Suite 300Fort Collins, CO 80524-3957 · (970) 493-7442 · Fax (970) 493-2990

Phone(970) 493-7442

Fax(970) 493-2990

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1993

Enumeration DateFebruary 15, 2006

Last NPPES UpdateMarch 10, 20202 updates tracked since enumeration

NPPES CertifiedMarch 10, 2020

✔ NPI 1609840727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CO · 36155

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1107 S LEMAY AVE, Fort Collins, CO 80524

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Secondary Practice Location 1

Location 11024 S LeMay AveFort Collins, CO 80524-3929 · Phone (970) 495-8800 · Fax (970) 495-8820

Other Identifiers 3

OtherTO648315Bcbs

Other84059624517Pacificare

Medicaid44753772CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Kevin John Tool 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.

PECOS PAC ID6901819960

PECOS Enrollment IDI20100922000319

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 8

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 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.

256 services87 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

28 services24 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.

21 services17 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

20 services18 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.

19 services19 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80524 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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.

76.2/100

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

Scored as part of a group practice

Quality

76.17

Promoting Interoperability

Improvement Activities

Cost

47.02

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter, with insertion supplies A4353

DME-Orthotic Devices · category DF008N

1 supplier11 claims1,530 services$6.77 avg. paid by Medicare

Non-implanted pelvic floor electrical stimulator, complete system E0740

DME-Other DME · category DE000N

1 supplier23 claims23 services$39.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. HANS CARL COESTER MD

Neurological Surgery

1107 S LEMAY AVE, SUITE 240
FORT COLLINS, CO 80524

Larimer County (970) 495-7421

BENJAMIN MICELI PA-C

Physician Assistant

1107 S LEMAY AVE, SUITE 240
FORT COLLINS, CO 80524

Larimer County (970) 495-7421

DR. BEVERLY ELAINE DONNELLEY MD

Obstetrics & Gynecology (Gynecology)