STEPHEN R. TOOTHAKER (M.D.) – Medical Oncology Physician, NPI 1033123195

STEPHEN R. TOOTHAKER (M.D.) is a healthcare provider. based in Rolla, Missouri. specializing in MEDICAL ONCOLOGY, HEMATOLOGY/ONCOLOGY. They hold the professional credentials M.D.. They hold a License No. 51776 (WI). The NPI Number for STEPHEN R. TOOTHAKER (M.D.) is 1033123195

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN R. TOOTHAKER (M.D.)
NPI
1033123195
Phone
(573) 458-3324
Address
1060 W 10th Street
Enumeration Date
27 July 2006
Last Update Date
18 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129960188
Graduation Year
2002 (24 years ago)
PAC ID
0244307155
Group Practice PAC ID
4587578042
Professional Enrollment ID
I20110808000633
Address ID
IN475462514JA800XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

194 MEDICAL ONCOLOGY in MO

Provider Addresses for STEPHEN R. TOOTHAKER (M.D.)

  • 1060 W 10th Street

    Rolla, MO 65401

    Phone: (573) 458-3324

    Fax: (573) 458-8445

    Type: Location

  • 521 Robinbrooke Blvd Unit 106

    Elizabethtown, KY 427015946

    Phone: (270) 706-1535

    Fax: (270) 706-4108

    Type: Location

  • 415 RODGERS DR STE A

    SEARCY, AR 721437434

    Phone: (501) 278-3100

    Type: Mailing

  • 1050, West 10th Street, Rolla, Phelps County, Missouri, 65401, United States

    ATTN: EXECUTIVE DIRECTOR OF PHTSICIAN CLINICS

    ROLLA, MO 65401

    Phone: (573) 364-9000

    Fax: (573) 426-2108

    Type: Mailing

  • Robinbrooke Boulevard, Elizabethtown, Hardin County, Kentucky, 42701, United States

    ELIZABETHTOWN, KY 427015946

    Phone: (270) 706-1535

    Fax: (270) 706-4108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 184 Open Payments records for all available years, with a total value of $4,558.

Total Amount is formed as General ($4,558) + Research ($0) + Ownership ($0) = $4,558.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($1,656).

Total Amount

$4,558

General + Research + Ownership

Payments

184

Total payment records

General Amount

$4,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20110808000633IHematology/OncologyINTBD
I20181016003166IHematology/OncologyKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes892354$0
99215Established patient office or other outpatient visit, 40-54 minutes376154$0
99205New patient office or other outpatient visit, 60-74 minutes7272$0
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
99204New patient office or other outpatient visit, 45-59 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 65401)

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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: 4587578042View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Family PracticeMI
Clinical Social WorkerIN
H E M A T O L O G Y/ O N C O L O G YIN
-IN
A N E S T H E S I O L O G YIN
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Physician AssistantOH

Reviews

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Frequently asked questions

Is STEPHEN R. TOOTHAKER (M.D.) listed with a National Provider Identifier?
Yes — STEPHEN R. TOOTHAKER (M.D.) has NPI 1033123195 on file in the registry.
Is there an active status for STEPHEN R. TOOTHAKER (M.D.)?
For scheduling context, STEPHEN R. TOOTHAKER (M.D.) is shown as active in the registry.
What area of care is associated with STEPHEN R. TOOTHAKER (M.D.)?
STEPHEN R. TOOTHAKER (M.D.)'s record emphasizes Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHEN R. TOOTHAKER (M.D.)?
Travel planning: use Rolla, Missouri as the reference point for STEPHEN R. TOOTHAKER (M.D.), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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