DR. OMESH GOPAL TOOLSIE MD
NPI 1972911865
Internal Medicine - Pulmonary Disease in Eau Claire, WI

Q: What is Omesh Toolsie's NPI number?

The NPI number for Omesh Toolsie is 1972911865. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Q: What is Omesh Toolsie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Omesh Toolsie was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 24, 2014PECOS EnrolledAccepts Medicare Assignment

78.85/100

CMS Quality Rating

2116 CRAIG RD, EAU CLAIRE, WI 54701(715) 858-4500(715) 858-4502 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Feb 6, 2024, Jul 28, 2021 and 2 more (5 updates tracked since 2020).

On this page

About Dr. Omesh Gopal Toolsie Md NPPES

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

DR. OMESH GOPAL TOOLSIE MD (NPI 1972911865) is an individual pulmonary disease provider in Eau Claire, Wisconsin, licensed in Wisconsin (74054-20) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1972911865

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. OMESH GOPAL TOOLSIECredential: MD

Location Address2116 CRAIG RDEau Claire, WI 54701-6149

Mailing Address2116 Craig RdEau Claire, WI 54701-6149 · (715) 858-4500 · Fax (715) 858-4502

Phone(715) 858-4500

Fax(715) 858-4502

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 24, 2014

Last NPPES UpdateApril 23, 20245 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1972911865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WI · 74054-20

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.

2116 CRAIG RD, Eau Claire, WI 54701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Security Health Plan.Insurance ›

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

Dr. Omesh Gopal Toolsie 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 ID345643995

PECOS Enrollment IDI20210720004068

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.

Medicare Billing Reassignments

Medicare enrollment records show Omesh Toolsie reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mchs Hospitals Inc

0.1 mi

Clinic/Center

2310 CRAIG RD
Eau Claire, WI 54701

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1952890873 (Wisconsin)
2,476 clinicians in this Medicare group

NPI 1316416035 (715) 858-8100

Lakeview Medical Center Inc Of Rice Lake

36 mi

Clinic/Center

806 2ND ST
Chetek, WI 54728

Reassigned Medicare billing, Wisconsin enrollment
1,616 clinicians in this Medicare group

NPI 1659008605 (715) 924-2000

Memorial Hospital Inc

47 mi

Clinic/Center

N3708 RIVER AVE
Neillsville, WI 54456

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1346239373 (Wisconsin)
1,440 clinicians in this Medicare group

NPI 1033701800 (715) 743-3101

Marshfield Clinic Inc

66 mi

Clinic/Center

1000 N OAK AVE
Marshfield, WI 54449

Reassigned Medicare billing, Wisconsin enrollment
2,540 clinicians in this Medicare group

NPI 1952347981 (715) 387-5511

Flambeau Hospital Inc

94 mi

Clinic/Center

98 SHERRY AVE
Park Falls, WI 54552

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1700963048 (Wisconsin)
1,351 clinicians in this Medicare group

NPI 1194317966 (715) 762-2484

Beaver Dam Community Hosptials Inc

159 mi

Family Medicine

1580 W JAMES ST
Columbus, WI 53925

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Beaver Dam Community Hospitals Inc.
1,447 clinicians in this Medicare group

NPI 1275833659 (920) 350-0235

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 11

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.

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.

392 services377 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.

298 services294 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.

285 services279 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.

222 services195 patients

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.

203 services169 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

149 services149 patients

Hospital Affiliations CMS Care Compare 5

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520011

Location1700 West Stout StreetRice Lake, WI 54868 · Barron County

Emergency services Birthing friendly

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520037

Location611 St Joseph AveMarshfield, WI 54449 · Wood County

Emergency services Birthing friendly

Marshfield Medical Center - Weston

Acute Care Hospitals · Weston, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520202

Location3400 Ministry ParkwayWeston, WI 54476 · Marathon County

Emergency services Birthing friendly

Marshfield Medical Center - Eau Claire

Acute Care Hospitals · Eau Claire, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520210

Location2310 Craig RdEau Claire, WI 54701 · Eau Claire County

Emergency services Birthing friendly

Marshfield Medical Center - Ladysmith

Critical Access Hospitals · Ladysmith, WI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number521328

Location1200 Port Arthur RdLadysmith, WI 54848 · Rusk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

78.85/100

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

Scored as part of a group practice

Quality

66.68

Promoting Interoperability

Improvement Activities

Cost

54.87

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers39 claims39 services$35.06 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

6 suppliers12 claims27 services$1.81 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers20 claims20 services$16.87 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers41 claims41 services$81.41 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers38 claims110 services$30.16 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers12 claims71 services$14.80 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers16 claims16 services$47.19 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers32 claims32 services$16.79 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers14 claims14 services$11.36 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers48 claims268 services$1.98 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

3 suppliers26 claims26 services$11.43 avg. paid by Medicare

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

DME-Oxygen and Supplies · category DC000N

4 suppliers22 claims26 services$17.82 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers98 claims98 services$6.67 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

9 suppliers200 claims204 services$101.36 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

6 suppliers94 claims94 services$34.36 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

12 suppliers58 claims3,541 services$3.52 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

21 suppliers111 claims7,500 services$6.06 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

14 suppliers34 claims9,402 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

23 suppliers70 claims10,020 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

33 suppliers179 claims12,126 services$0.79 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

3 suppliers16 claims84,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers62 claims62 services$33.37 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

35 suppliers215 claims226 services$25.63 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

8 suppliers15 claims15 services$51.95 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.

ANNA MARIE BYRNE DPT

Physical Therapist

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4500

TRACIE ANNE BUTLER FNP

Nurse Practitioner (Family)

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4560

SETH E BOLLINGER CRNA

Nurse Anesthetist, Certified Registered

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4500

MYLES DAVID KEROACK MD

Internal Medicine (Gastroenterology)

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4500

BRYAN D. POOLER PA

Physician Assistant

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4500

SHANA L VIFIAN RAY M.D.

Psychiatry & Neurology (Sleep Medicine)

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4500

KAREN JOY JOHNSON CNM

Advanced Practice Midwife

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4646

RALPH W FITZ MD

Internal Medicine (Interventional Cardiology)

2116 CRAIG RD
EAU CLAIRE, WI 54701

Eau Claire County (715) 858-4500

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 Omesh Toolsie's NPI number?

The NPI number for Omesh Toolsie is 1972911865. It was assigned to this individual provider in the NPPES registry on July 24, 2014.

Where is Omesh Toolsie located?

Omesh Toolsie practices at 2116 Craig Rd, Eau Claire, WI 54701. The listed phone number is (715) 858-4500.

What is Omesh Toolsie's specialty?

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

Is Omesh Toolsie enrolled in Medicare?

Yes. Omesh Toolsie 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 Omesh Toolsie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omesh Toolsie reassigns Medicare benefits to 6 organizations: Mchs Hospitals Inc (Eau Claire, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. 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 Omesh Toolsie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omesh Toolsie accept?

Health plans from Sanford Health Plan and Security Health Plan list Omesh Toolsie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Omesh Toolsie affiliated with any hospitals?

According to CMS data, Omesh Toolsie is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center, Marshfield Medical Center - Weston, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Ladysmith.

When was this NPI record last updated?

The NPPES record for Omesh Toolsie was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.