DR. TERRANCE MICHAEL JR. O'TOOLE (D.O) – Gastroenterology Physician, NPI 1134281843
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
863 GASTROENTEROLOGY in OH
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Provider Addresses for DR. TERRANCE MICHAEL JR. O'TOOLE (D.O)
2925, Vernon Place, Corryville, Cincinnati, Hamilton County, Ohio, 45219, United States
STE 100
CINCINNATI, OH 452192425
Phone: (513) 751-6667
Fax: (513) 872-4553
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)
CMS reports 238 Open Payments records for all available years, with a total value of $3,466.
Total Amount is formed as General ($3,466) + Research ($0) + Ownership ($0) = $3,466.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABBVIE INC. ($791).
Total Amount
$3,466
General + Research + Ownership
Payments
238
Total payment records
General Amount
$3,466
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-07-23
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 |
|---|---|---|---|---|
| I20090723000174 | I | Gastroenterology | OH | 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 |
|---|---|---|---|---|
| J3380 | Injection, vedolizumab, 1 mg | 6,600 | 12 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 177 | 177 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 111 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 88 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 83 | 81 | $0 |
Insurance plans in this area (ZIP 45219)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 104 | 104 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| - | OH | |
| Gastroenterology, Internal Medicine | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | IN |
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