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CLAYTON ROSS TOOLE DPM
NPI 1750764213
Podiatrist in Shenandoah, TX

Active since July 02, 2015PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
9191 PINECROFT DR STE 225, SHENANDOAH, TX 77380(281) 909-7722(281) 909-7733 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clayton Ross Toole Dpm NPPES

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

CLAYTON ROSS TOOLE DPM (NPI 1750764213) is an individual podiatrist in Shenandoah, Texas, licensed in Texas (2326) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Aspire Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750764213
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameCLAYTON ROSS TOOLECredential: DPM
Location Address9191 PINECROFT DR STE 225Shenandoah, TX 77380
Mailing Address9191 Pinecroft Dr Ste 225Shenandoah, TX 77380-2807 · (281) 909-7722 · Fax (281) 909-7733
Phone(281) 909-7722
Fax(281) 909-7733
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 2, 2015
Last NPPES UpdateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
✔ NPI 1750764213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in TX · 2326✔ Licensed in NY · P97798
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
9191 PINECROFT DR STE 225, Shenandoah, TX 77380
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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

Clayton Ross Toole Dpm 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 ID1456606094
PECOS Enrollment IDI20180621002245
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 10

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
773 services392 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
639 services343 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.
392 services133 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.
145 services20 patients
Trimming of fingernails or toenails 11719
Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.
126 services82 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
90 services90 patients

Hospital Affiliations CMS Care Compare

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

Aspire Hospital

Acute Care Hospitals · Conroe, TX
OwnershipPhysician
CMS Certification Number670093
Location2006 South Loop 336 West, Suite 500Conroe, TX 77304 · Montgomery County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

KRISTI A JUSTICE RN, FNP
Nurse Practitioner (Family)
9191 PINECROFT DR STE 225
SHENANDOAH, TX 77380
Montgomery County (281) 600-5000

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 Clayton Toole's NPI number?

The NPI number for Clayton Toole is 1750764213. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Clayton Toole located?

Clayton Toole practices at 9191 Pinecroft Dr Ste 225, Shenandoah, TX 77380. The listed phone number is (281) 909-7722.

What is Clayton Toole's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Clayton Toole enrolled in Medicare?

Yes. Clayton 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 Clayton Toole accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Clayton 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 Clayton Toole affiliated with any hospitals?

According to CMS data, Clayton Toole is affiliated with Aspire Hospital.

When was this NPI record last updated?

The NPPES record for Clayton Toole was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.