JOHN MICHAEL O'TOOLE (M.D.) – Emergency Medicine Physician, NPI 1922048057
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,565 HOSPITALIST in OH
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Provider Addresses for JOHN MICHAEL O'TOOLE (M.D.)
1751 FARRS GARDEN PATH
CLEVELAND, OH 441452067
Phone:
Type: Mailing
Ashtabula County Medical Center, 2420, Lake Avenue, Ashtabula, Ashtabula County, Ohio, 44004, United States
ASHTABULA, OH 440044954
Phone: (440) 997-2262
Type: Location
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: 2004-02-06
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 |
|---|---|---|---|---|
| I20040206000278 | I | Hospitalist | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 23 | 23 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 12 | 12 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 12 | 12 | $0 |
Insurance plans in this area (ZIP 44145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Hospitalist | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| General Surgery | NJ | |
| - | NC | |
| - | SC | |
| Internal Medicine | NJ | |
| Thoracic Surgery | MN |
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