JOHN MICHAEL O'TOOLE M.D.
NPI 1922048057
Emergency Medicine in Ashtabula, OH

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
2420 LAKE AVE, ASHTABULA, OH 44004(440) 997-2262 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1922048057
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN MICHAEL O'TOOLECredential: M.D.
Location Address2420 LAKE AVEAshtabula, OH 44004-4954
Mailing Address1751 Farrs Garden PathCleveland, OH 44145-2067
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1989
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1922048057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 35066945O
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2420 LAKE AVE, Ashtabula, OH 44004

Other Identifiers 5

OtherP00220350OH · Medicare Travelers Rr-ga
Other942460636127OH · Caresource
Medicare ID-Type UnspecifiedOT4059617OH
Medicare UPINF90466OH
Medicaid0984869OH

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

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.

PECOS PAC ID9739072323
PECOS Enrollment IDI20040206000278
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 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.
26 services26 patients

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, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%67 patients4/55-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.

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.

Nurse Anesthetist, Certified Registered
2420 LAKE AVE
ASHTABULA, OH 44004
Personal Emergency Response Attendant
2420 LAKE AVE
ASHTABULA, OH 44004
Pathology (Anatomic Pathology & Clinical Pathology)
2420 LAKE AVE
ASHTABULA, OH 44004
Social Worker
2420 LAKE AVE
ASHTABULA, OH 44004
Anesthesiology
2420 LAKE AVE
ASHTABULA, OH 44004
Pharmacist
2420 LAKE AVE
ASHTABULA, OH 44004
Emergency Medicine
2420 LAKE AVE
ASHTABULA, OH 44004
Internal Medicine (Hematology & Oncology)
2420 LAKE AVE
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.

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.