DR. DAVID ANDREW O'TOOLE M.D.
NPI 1659329811
Pain Medicine - Pain Medicine in Kernersville, NC

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
1730 KERNERSVILLE MEDICAL PKWY STE 204, KERNERSVILLE, NC 27284(336) 277-4460 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Oct 25, 2020, Jul 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. David Andrew O'toole M.d. NPPES

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

DR. DAVID ANDREW O'TOOLE M.D. (NPI 1659329811) is an individual pain medicine provider in Kernersville, North Carolina, licensed in North Carolina (2005-01361) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1659329811
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. DAVID ANDREW O'TOOLECredential: M.D.
Location Address1730 KERNERSVILLE MEDICAL PKWY STE 204Kernersville, NC 27284
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1999
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 22, 20235 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
NPI 1659329811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses Licensed in NC · 2005-01361 Licensed in VA · 0101238504
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 2005-01361 (NC)
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 2005-01361 (NC)
1730 KERNERSVILLE MEDICAL PKWY STE 204, Kernersville, NC 27284

Secondary Practice Location 1

Location 1160 Kimel Forest Dr Ste 100Winston Salem, NC 27103-6084 · Phone (336) 714-6400 · Fax (336) 714-6402

Other Identifiers 3

Other202194VA · Bcva
Medicaid010310814VA
Medicaid5904595NC

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

Dr. David Andrew 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 ID6800809468
PECOS Enrollment IDI20170724003705
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 23

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,386 services152 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
830 services46 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
659 services140 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
81 services51 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
78 services48 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
74 services59 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 8

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

Nurse Practitioner
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Family Medicine
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Neurological Surgery
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Nurse Practitioner
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Orthopaedic Surgery
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Physician Assistant
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Orthopaedic Surgery
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284
Specialist/Technologist (Athletic Trainer)
1730 KERNERSVILLE MEDICAL PKWY STE 204
KERNERSVILLE, NC 27284

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 David O'toole's NPI number?

The NPI number for David O'toole is 1659329811. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is David O'toole located?

David O'toole practices at 1730 Kernersville Medical Pkwy Ste 204, Kernersville, NC 27284. The listed phone number is (336) 277-4460.

What is David O'toole's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is David O'toole enrolled in Medicare?

Yes. David 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 David O'toole accept?

Health plans from Blue Cross and Blue Shield of NC list David 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.

Is David O'toole affiliated with any hospitals?

According to CMS data, David O'toole is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for David O'toole was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.