DR. THOMAS O'TOOLE MD
NPI 1841834140
Internal Medicine in Durham, NC

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

The NPI number for Thomas O'toole is 1841834140. It was assigned to this individual provider in the NPPES registry on October 30, 2019.

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

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas O'toole was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since October 30, 2019PECOS EnrolledAccepts Medicare Assignment

2301 ERWIN RD, DURHAM, NC 27710(503) 494-8428 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2024, Jul 7, 2021, Oct 30, 2019 (3 updates tracked since 2019).

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About Dr. Thomas O'toole Md NPPES

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

DR. THOMAS O'TOOLE MD (NPI 1841834140) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (2024-02243) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2021).

NPPES Registry Identity

NPI1841834140

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THOMAS O'TOOLECredential: MD

Location Address2301 ERWIN RDDurham, NC 27710-5042

Mailing Address2301 Erwin RdDurham, NC 27705-4699

Phone(503) 494-8428

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2021

Enumeration DateOctober 30, 2019

Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration

NPPES CertifiedAugust 7, 2024

✔ NPI 1841834140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 2024-02243

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2301 ERWIN RD, Durham, NC 27710

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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. Thomas 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 ID5799188025

PECOS Enrollment IDI20241018000833

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

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.

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.

22 services22 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CANDICE MARLOW RAY M.D.

Pediatrics (Pediatric Critical Care Medicine)