JOSEPH FREDERICK O'TOOLE MD
NPI 1821093931
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA

Q: What is Joseph O'toole's NPI number?

The NPI number for Joseph O'toole is 1821093931. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Joseph O'toole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph O'toole was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

5200 CENTRE AVE, STE 703, PITTSBURGH, PA 15232(412) 687-8300(412) 687-8391 Get Directions Write a Review

NPPES record last updated: December 26, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Joseph Frederick O'toole Md NPPES

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

JOSEPH FREDERICK O'TOOLE MD (NPI 1821093931) is an individual cardiovascular disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD071059L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of St. Louis College Of Physicians And Surgeons (1997).

NPPES Registry Identity

NPI1821093931

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJOSEPH FREDERICK O'TOOLECredential: MD

Location Address5200 CENTRE AVE, STE 703Pittsburgh, PA 15232-1327

Mailing Address5200 Centre Ave, Ste 703Pittsburgh, PA 15232-1327 · (412) 687-8300 · Fax (412) 687-8391

Phone(412) 687-8300

Fax(412) 687-8391

Sole ProprietorNo

Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 1997

Enumeration DateJune 15, 2005

Last NPPES UpdateDecember 26, 2013

✔ NPI 1821093931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD071059L

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5200 CENTRE AVE, Pittsburgh, PA 15232

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Other Identifiers 3

Medicaid1008318450001PA

Medicare UPINI01586

Medicare ID-Type Unspecified76605

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

Joseph Frederick O'toole 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 ID9133113046

PECOS Enrollment IDI20040413001296

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 25

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

504 services155 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

408 services311 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.

390 services292 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

302 services259 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

152 services38 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

127 services127 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

91 services88 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services76 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

71 services71 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

71 services71 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

71 services71 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

42 services11 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.

34 services34 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.

34 services32 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

30 services23 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

29 services29 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

21 services17 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

21 services18 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

19 services19 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

17 services17 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

17 services17 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

16 services14 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

14 services14 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

12 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390145

Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County

Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

65%169 patients3/55-star benchmark: 100%

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.

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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.

KRISHNA KANCHARLA

Internal Medicine (Clinical Cardiac Electrophysiology)

5200 CENTRE AVE, SUITE 710
PITTSBURGH, PA 15232

Allegheny County (412) 623-6889

EMILY YEE

Internal Medicine (Pulmonary Disease)

5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610
PITTSBURGH, PA 15232

Allegheny County (412) 621-1200

HITENDRA PATEL

Legal Medicine

5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232

Allegheny County (412) 621-7777

STEPHANIE RICHARDS

Specialist

5200 CENTRE AVE, SUITE 405
PITTSBURGH, PA 15232

Allegheny County (412) 623-2700

HARRY RAFKIN

Internal Medicine (Pulmonary Disease)

5200 CENTRE AVE, SUITE 610
PITTSBURGH, PA 15232

Allegheny County (412) 621-1200

DR. MARK RIZKO MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2121

TINA MUSAHL

Internal Medicine (Gastroenterology)

5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232

Allegheny County (412) 621-7777

JOEL BIGLEY

Urology

5200 CENTRE AVE, MEDICAL ARTS BUILDING, SUITE 209
PITTSBURGH, PA 15232

Allegheny County (412) 605-3000

DR. JANE MEI WEI MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

JAMES DENNIS O'TOOLE MD

Internal Medicine (Cardiovascular Disease)

5200 CENTRE AVE, STE 703
PITTSBURGH, PA 15232

Allegheny County (412) 687-8300

SHADYSIDE PSYCHOLOGICAL SERVICES

Psychologist (Clinical)

5200 CENTRE AVE, SUITE 514
PITTSBURGH, PA 15232

Allegheny County (412) 683-7396

XIANCHENG WU MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2458

KEMING YANG

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

DR. GERARDO ANTHONY MARRAZZO M.D.

Dermatology

5200 CENTRE AVE, SUITE 303
PITTSBURGH, PA 15232

Allegheny County (412) 681-9400

HASSAN ADAM ABARIKA ALHASSAN

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 623-2458

EMILY ROSE NEAL MD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

RICHARD PATRICK JACOBS M.D.

Urology

5200 CENTRE AVE, SUITE 205
PITTSBURGH, PA 15232

Allegheny County (412) 681-6632

DAVID G. BRODLAND M.D.

Dermatology (MOHS-Micrographic Surgery)

5200 CENTRE AVE, SUITE 303
PITTSBURGH, PA 15232

Allegheny County (412) 681-9480

DAVID ZORUB

Neurological Surgery

5200 CENTRE AVE, SUITE 617
PITTSBURGH, PA 15232

Allegheny County (412) 623-2972

LARS BJOERNEBO MD, PHD

Student in an Organized Health Care Education/Training Program

5200 CENTRE AVE
PITTSBURGH, PA 15232

Allegheny County (412) 681-4989

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 Joseph O'toole's NPI number?

The NPI number for Joseph O'toole is 1821093931. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Joseph O'toole located?

Joseph O'toole practices at 5200 Centre Ave Ste 703, Pittsburgh, PA 15232. The listed phone number is (412) 687-8300.

What is Joseph O'toole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Joseph O'toole enrolled in Medicare?

Yes. Joseph 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.

Is Joseph O'toole affiliated with any hospitals?

According to CMS data, Joseph O'toole is affiliated with Magee Womens Hospital Of Upmc Health System, Excela Health Westmoreland Regional Hospital, Upmc Presbyterian Shadyside and Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Joseph O'toole was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.