MARY C OTOOLE MD
NPI 1790743748
Obstetrics & Gynecology in Laguna Hills, CA
Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
84.41/100
CMS Quality Rating
24411 HEALTH CENTER DR, SUITE 200, LAGUNA HILLS, CA 92653(949) 829-5500 Get Directions Write a Review
About Mary C Otoole Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY C OTOOLE MD (NPI 1790743748) is an individual obstetrics & gynecology provider in Laguna Hills, California, licensed in California (A44125) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
NPI1790743748
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY C OTOOLECredential: MD
Location Address24411 HEALTH CENTER DR, SUITE 200Laguna Hills, CA 92653-3633
Mailing Address24411 Health Center Dr, Suite 200Laguna Hills, CA 92653-3633 · (949) 829-5500
Phone(949) 829-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 31, 2011
✔ NPI 1790743748 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A44125
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
24411 HEALTH CENTER DR, Laguna Hills, CA 92653
Other Identifiers 2
Medicare UPINE53376CA
Medicare ID-Type UnspecifiedWA44125DCA · Ppin
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
Mary C Otoole Md 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 ID1557339306
PECOS Enrollment IDI20110118000466
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 16
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.
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
431 services431 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.
354 services338 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
293 services293 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
293 services293 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
201 services201 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
173 services173 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92653 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.
84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
90.67
Promoting Interoperability
100
Improvement Activities
40
Cost
57.36
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
95%1,594 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
96%2,353 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
17%297 patients1/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
26%1,620 patients2/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,255 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%3,328 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
41%530 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%381 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%3,570 patients3/55-star benchmark: 97%
Pregnant women that had HBsAg testing
This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy
100%158 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
63%3,008 patients3/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
4%1,808 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 88% · 2,522 patients
86%2,520 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%3,570 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
86%420 patients4/55-star benchmark: 97%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
94%3,570 patients5/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 614 patients
13%614 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
81%3,570 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Licensed Practical Nurse
24411 HEALTH CENTER DR, SUITE 200
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Surgery (Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 350
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Thoracic Surgery (Cardiothoracic Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 680
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Physician Assistant (Surgical)
24411 HEALTH CENTER DR, STE 350
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Clinic/Center (Health Service)
24411 HEALTH CENTER DR, SUITE 530
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology
24411 HEALTH CENTER DR, SUITE 640
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
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 Mary Otoole's NPI number?
The NPI number for Mary Otoole is 1790743748. It was assigned to this individual provider in the NPPES registry on May 1, 2006.
Where is Mary Otoole located?
Mary Otoole practices at 24411 Health Center Dr Suite 200, Laguna Hills, CA 92653. The listed phone number is (949) 829-5500.
What is Mary Otoole's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Mary Otoole enrolled in Medicare?
Yes. Mary Otoole 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.
When was this NPI record last updated?
The NPPES record for Mary Otoole was last updated on January 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mary C Otoole, MD · NPI 1790743748
Obstetrics & Gynecology physician in Laguna Hills, California. Individual provider, active in the CMS NPPES registry since May 1, 2006.
## Identity
- **NPI:** 1790743748 (Entity type: Individual)
- **Enumerated:** May 1, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** A44125 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 24411 HEALTH CENTER DR, SUITE 200, Laguna Hills, CA 92653-3633
- **Phone:** (949) 829-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** January 31, 2011
- **Other identifiers:** Medicare UPIN E53376 (CA); Medicare ID-Type Unspecified WA44125D (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1790743748) · Data from the CMS NPPES public registry.