KATHLEEN MARY O'TOOLE M.D.
NPI 1922135227
Pathology - Anatomic Pathology in New York, NY

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

The NPI number for Kathleen O'toole is 1922135227. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

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

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen 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.

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

622 W 168TH ST, PH 1564W, NEW YORK, NY 10032(212) 305-7399 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathleen Mary O'toole M.d. NPPES

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

KATHLEEN MARY O'TOOLE M.D. (NPI 1922135227) is an individual anatomic pathology provider in New York, New York, licensed in New York (139774-1) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1978).

NPPES Registry Identity

NPI1922135227

Entity TypeIndividualFemale

Primary Taxonomy207ZP0101X

Provider Legal NameKATHLEEN MARY O'TOOLECredential: M.D.

Location Address622 W 168TH ST, PH 1564WNew York, NY 10032-3720

Mailing Address622 W 168th St, Ph 1564wNew York, NY 10032-3720 · (212) 305-7399

Phone(212) 305-7399

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1978

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1922135227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0101X

License✔ Licensed in NY · 139774-1

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

622 W 168TH ST, New York, NY 10032

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Other Identifiers 2

Medicare UPINB20458

Medicare ID-Type Unspecified96A831NY

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

Kathleen Mary 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 ID4789850017

PECOS Enrollment IDI20120106000855

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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

485 services215 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

292 services72 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

189 services111 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

174 services124 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

136 services49 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

95 services83 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

84 services13 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

61 services51 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

59 services24 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

57 services55 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

51 services50 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

45 services28 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

30 services24 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

25 services13 patients

Special stained specimen slides to examine tissue, initial procedure 88342

25 services21 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

15 services12 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

11 services11 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330101

Location525 East 68th StreetNew York, NY 10065 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

100/100

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

Scored through an Alternative Payment Model

Quality

86.8

Promoting Interoperability

100

Improvement Activities

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.

DR. PIETRO ALESSANDRO AMBROGIO CANETTA M.D.

Internal Medicine (Nephrology)

622 W 168TH ST, PH4-124
NEW YORK, NY 10032

New York County (212) 305-5020

CHARLES D RESOR

Internal Medicine