1. Home
  2. Directory
  3. Kentucky
  4. Paducah
  5. Ophthalmology
  6. NPI Profile

ANDREA TOOLEY
NPI 1750797213
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Paducah, KY

Active since July 05, 2014PECOS EnrolledAccepts Medicare Assignment
1130 LONE OAK RD, PADUCAH, KY 42003(270) 415-0245 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2026, Jan 7, 2026, Aug 21, 2020 and 4 more (7 updates tracked since 2018).

About Andrea Tooley NPPES

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

ANDREA TOOLEY (NPI 1750797213) is an individual ophthalmic plastic and reconstructive surgery provider in Paducah, Kentucky, licensed in Kentucky (61237) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750797213
Entity TypeIndividualFemale
Primary Taxonomy207WX0200X
Provider Legal NameANDREA TOOLEY
Location Address1130 LONE OAK RDPaducah, KY 42003-4525
Mailing Address1130 Lone Oak RdPaducah, KY 42003-4525
Phone(270) 415-0245
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2014
Last NPPES UpdateJanuary 20, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1750797213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in KY · 61237
Definition

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Also ListedOphthalmologyTaxonomy 207W00000X · License 61237 (KY)
1130 LONE OAK RD, Paducah, KY 42003
Open in Google Maps ↗

Accepted Insurance

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

Andrea Tooley 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 ID3476771346
PECOS Enrollment IDI20150723008777, I20251117000559
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.

Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
84 services82 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.
78 services74 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.
61 services61 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.
56 services49 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
33 services33 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180104
Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers12 claims12 services$50.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

INNOVATIVE GASWORKS
Anesthesiology
1130 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 415-0245
BARBARA BOWERS, MD, PLLC
Ophthalmology
1130 LONE OAK RD
PADUCAH, KY 42003
McCracken County (270) 415-0245

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 Andrea Tooley's NPI number?

The NPI number for Andrea Tooley is 1750797213. It was assigned to this individual provider in the NPPES registry on July 5, 2014.

Where is Andrea Tooley located?

Andrea Tooley practices at 1130 Lone Oak Rd, Paducah, KY 42003. The listed phone number is (270) 415-0245.

What is Andrea Tooley's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Andrea Tooley enrolled in Medicare?

Yes. Andrea Tooley 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 Andrea Tooley accept?

Health plans from Medica list Andrea Tooley 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 Andrea Tooley affiliated with any hospitals?

According to CMS data, Andrea Tooley is affiliated with Mercy Health - Lourdes Hospital, Baptist Health Paducah and Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Andrea Tooley was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.