DR. THERON C II TOOLE (MD) – Cardiovascular Disease Physician, NPI 1184604837
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL
Provider Addresses for DR. THERON C II TOOLE (MD)
340 Hulse Rd
NAMI, NAS Pensacola code 33
Pensacola, FL 325081092
Phone: (850) 452-3154
Type: Location
340 HULSE RD
NAMI, NAS PENSACOLA CODE 33
PENSACOLA, FL 325081092
Phone: (850) 452-3154
Type: Location
PO BOX 846098
DALLAS, TX 752846098
Phone: (903) 606-6400
Fax: (903) 606-1522
Type: Mailing
1521 S STAPLES ST STE 700
CORPUS CHRISTI, TX 784043160
Phone: (361) 888-8271
Type: Location
Mobile Highway, West Pensacola, Brent, Escambia County, Florida, 32516, United States
PENSACOLA, FL 325068956
Phone: (850) 455-0226
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $159.
Total Amount is formed as General ($159) + Research ($0) + Ownership ($0) = $159.
Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($53).
Total Amount
$159
General + Research + Ownership
Payments
9
Total payment records
General Amount
$159
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $53 |
| PFIZER INC. | $41 |
| E.R. Squibb & Sons, L.L.C. | $37 |
| SANOFI-AVENTIS U.S. LLC | $14 |
| Janssen Pharmaceuticals, Inc | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220407001204 | I | Cardiovascular Disease (Cardiology) | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 58 | 53 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 48 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 93296 | Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days | 22 | 22 | $0 |
Insurance plans in this area (ZIP 32508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | AZ | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | IL | |
| - | NC | |
| Physician Assistant | LA | |
| Hospitalist, Gastroenterology | TX |
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