JOHN MICHAEL O'TOOLE M.D.
NPI 1922048057
Emergency Medicine in Ashtabula, OH
About John Michael O'toole M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MICHAEL O'TOOLE M.D. (NPI 1922048057) is an individual emergency medicine provider in Ashtabula, Ohio, licensed in Ohio (35066945O) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of University Of Cincinnati College Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Michael O'toole M.d. 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.
Medicare Billing Reassignments
4Medicare enrollment records show John O'toole reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Parma, OH 44129
- Reassigned Medicare billing, Ohio enrollment
- 53 clinicians in this Medicare group
Middleburg Heights, OH 44130
- Reassigned Medicare billing, Ohio enrollment
- 238 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southwest General Health Center
Acute Care Hospitals · Middleburg Heights, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
ASHTABULA, OH 44004
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 John O'toole's NPI number?
The NPI number for John O'toole is 1922048057. It was assigned to this individual provider in the NPPES registry on June 7, 2006.
Where is John O'toole located?
John O'toole practices at 2420 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 997-2262.
What is John O'toole's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John O'toole enrolled in Medicare?
Yes. John 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.
Which organizations bill Medicare for John O'toole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John O'toole reassigns Medicare benefits to 4 organizations: University Hospitals Medical Group Inc (Cleveland, OH), Parma Community General Hospital Association (Parma, OH), North East Ohio Group Practice LLC (Middleburg Heights, OH) and Emergency Professional Services, Inc. (Seaman, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John O'toole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John O'toole affiliated with any hospitals?
According to CMS data, John O'toole is affiliated with Southwest General Health Center.
When was this NPI record last updated?
The NPPES record for John O'toole was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John Michael O'toole, M.D. · NPI 1922048057
Emergency Medicine physician in Ashtabula, Ohio. Individual provider, active in the CMS NPPES registry since June 7, 2006.
## Identity
- **NPI:** 1922048057 (Entity type: Individual)
- **Enumerated:** June 7, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35066945O (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2420 LAKE AVE, Ashtabula, OH 44004-4954
- **Phone:** (440) 997-2262
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); Parma Community General Hospital Association (NPI 1164481677, Parma, OH); North East Ohio Group Practice LLC (NPI 1063575462, Middleburg Heights, OH); Emergency Professional Services, Inc. (NPI 1093762353, Seaman, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Cincinnati College Of Medicine, class of 1989
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other P00220350 (OH); Other 942460636127 (OH); Medicare ID-Type Unspecified OT4059617 (OH); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1922048057) · Data from the CMS NPPES public registry.