MELISSA O'TOOLE (M.D.) – Diagnostic Radiology Physician, NPI 1205838810

MELISSA O'TOOLE (M.D.) is a healthcare provider. based in Houston, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. K3621 (TX). The NPI Number for MELISSA O'TOOLE (M.D.) is 1205838810

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA O'TOOLE (M.D.)
NPI
1205838810
Phone
(281) 880-6991
Address
17080 RED OAK DR
Enumeration Date
12 August 2005
Last Update Date
19 March 2009

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8662576864
Graduation Year
1996 (30 years ago)
PAC ID
6305732157
Group Practice PAC ID
7517853351
Professional Enrollment ID
I20040226001184
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for MELISSA O'TOOLE (M.D.)

  • Red Oak Drive, Houston County, Texas, United States

    HOUSTON, TX 770902602

    Phone: (281) 880-6991

    Type: Location

  • 714 FM 1960 RD W

    HOUSTON, TX 770903408

    Phone: (281) 880-6991

    Type: Mailing

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: 2017-03-29

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
I20040226001184IDiagnostic RadiologyTXTBD
I20170329002772IDiagnostic RadiologyOHTBD

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
77063Screening 3d breast mammography1,085858$0
77067Screening mammography1,082856$0
77080Dxa bone density measurement of hip, pelvis, spine211209$0
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)8989$0
76641Complete ultrasound scan of 1 breast7272$0
View full utilization report →

Insurance plans in this area (ZIP 77090)

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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: 7517853351View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
Diagnostic RadiologyLA
-TX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX

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Frequently asked questions

How do I look up MELISSA O'TOOLE (M.D.) by NPI?
Use NPI 1205838810 when you need to reference MELISSA O'TOOLE (M.D.) in forms, claims, or directories.
Is MELISSA O'TOOLE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MELISSA O'TOOLE (M.D.) treat or focus on?
Patients typically see MELISSA O'TOOLE (M.D.) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MELISSA O'TOOLE (M.D.)?
The snapshot lists Houston, Texas for MELISSA O'TOOLE (M.D.); download NPPES for the complete set.
What if Houston, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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