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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. ERIN M O'TOOLE PA-C
NPI 1679547368
Physician Assistant in North Grafton, MA

Active since February 17, 2006PECOS Enrolled
100 WORCESTER ST, NORTH GRAFTON, MA 01536(508) 839-7307(508) 839-5758 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, Nov 9, 2020 (2 updates tracked since 2020).

About Ms. Erin M O'toole Pa-c NPPES

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

MS. ERIN M O'TOOLE PA-C (NPI 1679547368) is an individual physician assistant in North Grafton, Massachusetts, licensed in Massachusetts (PA887) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1679547368
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. ERIN M O'TOOLECredential: PA-C
Location Address100 WORCESTER STNorth Grafton, MA 01536-1024
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 839-7307
Fax(508) 839-5758
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 17, 2006
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1679547368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA887
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 WORCESTER ST, North Grafton, MA 01536
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Accepted Insurance

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

Ms. Erin M O'toole Pa-c 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 ID2769370923
PECOS Enrollment IDI20040309000529
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 6

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.
188 services126 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.
95 services79 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
48 services48 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
40 services35 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
15 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01536 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES 10

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

AINUN HAQ M.D
Internal Medicine
100 WORCESTER ST, SUITE 60
NORTH GRAFTON, MA 01536
Worcester County (508) 856-0458
RAMYA KORAPATI
Internal Medicine
100 WORCESTER ST
NORTH GRAFTON, MA 01536
Worcester County (508) 839-7307
MRS. MARY PHILPOT FNP-BC
Nurse Practitioner (Family)
100 WORCESTER ST
NORTH GRAFTON, MA 01536
Worcester County (866) 389-2727
PAUL J BRADLEY MD
Internal Medicine
100 WORCESTER ST, SUITE 60
NORTH GRAFTON, MA 01536
Worcester County (508) 839-7307
DR. MEENA KUMAR MD
Internal Medicine
100 WORCESTER ST
NORTH GRAFTON, MA 01536
Worcester County (508) 839-7307
MRS. TRACEY LYNN BLUM RPH
Pharmacist
100 WORCESTER ST
NORTH GRAFTON, MA 01536
Worcester County (508) 839-2240
DR. ALLYSON BROWN PHARMD
Pharmacist
100 WORCESTER ST
NORTH GRAFTON, MA 01536
Worcester County (508) 839-2240
TUYEN NGUYEN
Pharmacist
100 WORCESTER ST
NORTH GRAFTON, MA 01536
Worcester County (508) 839-2240

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 Erin O'toole's NPI number?

The NPI number for Erin O'toole is 1679547368. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Erin O'toole located?

Erin O'toole practices at 100 Worcester St, North Grafton, MA 01536. The listed phone number is (508) 839-7307.

What is Erin O'toole's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Erin O'toole enrolled in Medicare?

Yes. Erin 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 Erin O'toole accept?

Health plans from Anthem Blue Cross and Blue Shield list Erin 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 Erin O'toole affiliated with any hospitals?

According to CMS data, Erin O'toole is affiliated with Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Erin O'toole was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.