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DR. AMANDA J TOOLE MD
NPI 1982796488
Otolaryngology - Plastic Surgery within the Head & Neck in Saint Clair Shores, MI

Active since September 29, 2006PECOS Enrolled
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7610(586) 445-2523 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Amanda J Toole Md NPPES

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

DR. AMANDA J TOOLE MD (NPI 1982796488) is an individual plastic surgery within the head & neck provider in Saint Clair Shores, Michigan, licensed in Michigan (AT077352) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982796488
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameDR. AMANDA J TOOLECredential: MD
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081
Mailing Address21000 E 12 Mile Rd, Ste 111St Clair Shores, MI 48081 · (586) 226-4301 · Fax (586) 445-2523
Phone(586) 779-7610
Fax(586) 445-2523
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 5, 2007
✔ NPI 1982796488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in MI · AT077352
Definition

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

21000 E 12 MILE RD, Saint Clair Shores, MI 48081
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Other Identifiers 11

Other0501109Blue Care Network
OtherC7547Mcar
Other4112028002Cigna
Medicare ID-Type Unspecified05041561041MI
Other131198Care Choices
Other0405011091Blue Cross Blue Shield
OtherH31309Health Alliance Plan
Other7246248Aetna
Medicaid4284574MI
Other104263Great Lakes
Medicare UPINH31309MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda J Toole Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
36%592 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
28%665 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
32%977 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%475 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%150 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%996 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%1,827 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
76%1,827 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
29%1,827 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
38%1,827 patients
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.

VEENA B CHARI HEDNI MD
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-5100
JENNIFER KUZEL MD
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-5100
ANN R MCREYNOLDS MD
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-5100
MANUELA B O'CAMPO MD
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Macomb County (810) 447-5700
NATHAN S. WHITE MD
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-5100
DANIEL COLALUCA PHARM.D.
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-5030
MR. TIMOTHY J MIODEK
Pharmacist
21000 E 12 MILE RD, SUITE 124
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-5030
MRS. PAMELA SUSAN KILUK RPH
Pharmacist
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-5030

Frequently Asked Questions

What is Amanda Toole's NPI number?

The NPI number assigned to this healthcare provider is 1982796488, enumerated as an "individual" on September 29, 2006.

Where is the provider located?

The provider is located at 21000 E 12 MILE RD SUITE 111 SAINT CLAIR SHORES, MI 48081 and the phone number is (586) 779-7610.

What is the provider's specialty?

Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.

What insurance does Amanda Toole accept?

The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.