SHANE O'TOOLE (MD) – Anesthesiology Physician, NPI 1114580099

SHANE O'TOOLE (MD) is a healthcare provider. based in Pontiac, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 4301504692 (MI). The NPI Number for SHANE O'TOOLE (MD) is 1114580099

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
SHANE O'TOOLE (MD)
NPI
1114580099
Phone
(248) 338-5392
Address
50 N PERRY ST
Enumeration Date
17 April 2019
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483385000
Graduation Year
2019 (7 years ago)
PAC ID
1153664552
Group Practice PAC ID
4385557602
Professional Enrollment ID
I20230614004073
Address ID
MI483422217PO50XXXSTXX413
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

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Provider Addresses for SHANE O'TOOLE (MD)

  • McLaren Oakland, 50, North Perry Street, Pontiac, Oakland County, Michigan, 48342, United States

    PONTIAC, MI 483422217

    Phone: (248) 338-5392

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230614004073IAnesthesiologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3636$0
01922Anesthesia for x-ray or radiation therapy1515$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1414$0
01402Anesthesia for procedure for total knee joint replacement1313$0
36620Insertion of artery tube for blood sampling or infusion through skin1111$0
View full utilization report →

Insurance plans in this area (ZIP 48342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385557602View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YTX
Anesthesiology, Pain ManagementMI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

How is SHANE O'TOOLE (MD) identified in CMS data?
CMS-hosted NPPES data lists SHANE O'TOOLE (MD) with NPI 1114580099.
Can I rely on SHANE O'TOOLE (MD) being an active provider?
As of the registry snapshot, SHANE O'TOOLE (MD) is marked active.
What is SHANE O'TOOLE (MD)'s primary classification?
Anesthesiology Physician is the headline specialty for SHANE O'TOOLE (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect SHANE O'TOOLE (MD) on a map?
Expect Pontiac, Michigan as a primary anchor for SHANE O'TOOLE (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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