DR. DOUGLAS TOOLE D.P.M
NPI 1740543834
Podiatrist - Foot & Ankle Surgery in Salt Lake City, UT

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
6405 S 3000 E STE 201, SALT LAKE CITY, UT 84121(801) 266-3113 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2024, Apr 15, 2023 (2 updates tracked since 2023).

About Dr. Douglas Toole D.p.m NPPES

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

DR. DOUGLAS TOOLE D.P.M (NPI 1740543834) is an individual foot & ankle surgery provider in Salt Lake City, Utah, licensed in Utah (8718611) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1740543834
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. DOUGLAS TOOLECredential: D.P.M
Location Address6405 S 3000 E STE 201Salt Lake City, UT 84121-6990
Mailing Address6405 S 3000 E Ste 300Salt Lake City, UT 84121-6977 · (801) 266-3113 · Fax (801) 266-5633
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
NPI 1740543834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in UT · 8718611
6405 S 3000 E STE 201, Salt Lake City, UT 84121

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. Douglas Toole D.p.m 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 ID8820304058
PECOS Enrollment IDI20150902000635
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 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.

Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
156 services13 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
150 services34 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
128 services40 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
73 services26 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
55 services17 patients
Noncontact near-infrared spectroscopy with image acquisition, interpretation and report, first anatomic site 0640T
Noncontact near-infrared spectroscopy is a non-invasive procedure used to examine the health of a wound or flap. It involves the use of light to measure oxygen levels in tissues, aiding in monitoring healing progress. Images are taken, interpreted, and a report is prepared.
28 services19 patients

Other Providers at the Same Location NPPES 3

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

Podiatrist
6405 S 3000 E STE 201
SALT LAKE CITY, UT 84121
Occupational Therapist
6405 S 3000 E STE 201
SALT LAKE CITY, UT 84121
Occupational Therapist
6405 S 3000 E STE 201
SALT LAKE CITY, UT 84121

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 Douglas Toole's NPI number?

The NPI number for Douglas Toole is 1740543834. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Douglas Toole located?

Douglas Toole practices at 6405 S 3000 E Ste 201, Salt Lake City, UT 84121. The listed phone number is (801) 266-3113.

What is Douglas Toole's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Douglas Toole enrolled in Medicare?

Yes. Douglas 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 Douglas Toole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Douglas 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 Douglas Toole was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.