JOSEPH FREDERICK O'TOOLE (MD) – Cardiovascular Disease Physician, NPI 1821093931

JOSEPH FREDERICK O'TOOLE (MD) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. MD071059L (PA). The NPI Number for JOSEPH FREDERICK O'TOOLE (MD) is 1821093931

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
JOSEPH FREDERICK O'TOOLE (MD)
NPI
1821093931
Phone
(412) 687-8300
Address
5200 CENTRE AVE
Enumeration Date
15 June 2005
Last Update Date
26 December 2013

Doctor Profile

Medical School Name
ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
4129241100
Graduation Year
1997 (29 years ago)
PAC ID
9133113046
Group Practice PAC ID
7618958067
Professional Enrollment ID
I20040413001296
Address ID
PA152063721PI5750XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,013 CARDIOVASCULAR DISEASE (CARDIOLOGY) in PA

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Provider Addresses for JOSEPH FREDERICK O'TOOLE (MD)

  • 5200, Centre Avenue, Shadyside, Pittsburgh, Allegheny County, Pennsylvania, 15232, United States

    STE 703

    PITTSBURGH, PA 152321327

    Phone: (412) 687-8300

    Fax: (412) 687-8391

    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 147 Open Payments records for all available years, with a total value of $2,681.

Total Amount is formed as General ($2,681) + Research ($0) + Ownership ($0) = $2,681.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($456).

Total Amount

$2,681

General + Research + Ownership

Payments

147

Total payment records

General Amount

$2,681

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-04-13

PECOS data refreshed: 2026-06-15

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
I20040413001296ICardiovascular Disease (Cardiology)PATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes579166$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report473322$0
99214Established patient office or other outpatient visit, 30-39 minutes441291$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only270224$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function228225$0
View full utilization report →

Insurance plans in this area (ZIP 15232)

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Provider's Procedures

JOSEPH FREDERICK O'TOOLE (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies9999
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report136119

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: 7618958067View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology)PA
Cardiovascular Disease (Cardiology), Internal MedicinePA

Reviews

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Frequently asked questions

How do payers reference JOSEPH FREDERICK O'TOOLE (MD)?
For JOSEPH FREDERICK O'TOOLE (MD), use NPI 1821093931 as the unique 10-digit identifier.
Is JOSEPH FREDERICK O'TOOLE (MD) shown as active in public data?
Registry records indicate JOSEPH FREDERICK O'TOOLE (MD) maintains an active NPI.
What clinical focus is listed for JOSEPH FREDERICK O'TOOLE (MD)?
At a glance, JOSEPH FREDERICK O'TOOLE (MD) is tied to Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOSEPH FREDERICK O'TOOLE (MD)?
Travel planning: use Pittsburgh, Pennsylvania as the reference point for JOSEPH FREDERICK O'TOOLE (MD), then confirm.
When was this NPI issued?
Enumeration for JOSEPH FREDERICK O'TOOLE (MD) is noted as June 15, 2005 where the registry provides it.

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