JACQUELINE O'TOOLE D.O.
NPI 1902148471
Internal Medicine - Pulmonary Disease in Baltimore, MD

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

The NPI number for Jacqueline O'toole is 1902148471. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment

80.17/100

CMS Quality Rating

9000 FRANKLIN SQUARE DR, BALTIMORE, MD 21237(443) 777-7000 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 25, 2021, Aug 18, 2021, Aug 14, 2019 (3 updates tracked since 2019).

On this page

About Jacqueline O'toole D.o. NPPES

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

JACQUELINE O'TOOLE D.O. (NPI 1902148471) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (H0084231) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2013).

NPPES Registry Identity

NPI1902148471

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameJACQUELINE O'TOOLECredential: D.O.

Location Address9000 FRANKLIN SQUARE DRBaltimore, MD 21237-3901

Mailing Address9000 Franklin Square DrBaltimore, MD 21237-3901 · (443) 777-7000

Phone(443) 777-7000

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2013

Enumeration DateMarch 22, 2013

Last NPPES UpdateAugust 25, 20213 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1902148471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MD · H0084231

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License H0084231 (MD)

9000 FRANKLIN SQUARE DR, Baltimore, MD 21237

Open in Google Maps ↗

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

Jacqueline O'toole D.o. 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 ID5991008211

PECOS Enrollment IDI20200520003380

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 19

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.

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.

208 services156 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

153 services152 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

133 services87 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

105 services104 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

101 services101 patients

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.

79 services55 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

70 services70 patients

Test to examine how well the lungs exchange gases 94729

67 services67 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

66 services66 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

59 services45 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

55 services55 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.

55 services55 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.

55 services54 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.

53 services51 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

51 services38 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

28 services27 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.

26 services26 patients

Test to measure expiratory airflow and volume 94010

18 services18 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Medstar Franklin Square Medical Center

Acute Care Hospitals · Rosedale, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210015

Location9000 Franklin Square DriveRosedale, MD 21237 · Baltimore County

Emergency services Birthing friendly

Medstar Good Samaritan Hospital

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210056

Location5601 Loch Raven BoulevardBaltimore, MD 21239 · Baltimore City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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.

80.17/100

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

Scored as part of a group practice

Quality

76.69

Promoting Interoperability

100

Improvement Activities

Cost

53.49

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier16 claims16 services$15.23 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers18 claims18 services$67.60 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 20

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

FRANKLIN SQUARE HOSPITAL CENTER, INC

Clinical Medical Laboratory

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-7257

DIH-YIN CHEN MD

Student in an Organized Health Care Education/Training Program

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-8300

PERCY IVAN VALENZUELA CANEPA M.D.

Internal Medicine

9000 FRANKLIN SQUARE DR, HOSPITALIST PROGRAM
BALTIMORE, MD 21237

Baltimore County (443) 777-8186

MISS BROOKE JELA REDMER PA-C

Physician Assistant

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-7900

ERIC WUNDERLE

Physical Therapist

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-7000

MARK DEAN WAGUESPACK MD

Anesthesiology

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-7179

ROBERT A PAZ M.D.

Internal Medicine

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-7000

FRANKLIN SQUARE HOSPITAL CENTER INC

Pediatrics

9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237

Baltimore County (443) 777-7000

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 Jacqueline O'toole's NPI number?

The NPI number for Jacqueline O'toole is 1902148471. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Jacqueline O'toole located?

Jacqueline O'toole practices at 9000 Franklin Square Dr, Baltimore, MD 21237. The listed phone number is (443) 777-7000.

What is Jacqueline O'toole's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jacqueline O'toole enrolled in Medicare?

Yes. Jacqueline 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 Jacqueline O'toole affiliated with any hospitals?

According to CMS data, Jacqueline O'toole is affiliated with Medstar Franklin Square Medical Center and Medstar Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline O'toole was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.