Michael John O'Toole, M.D.
NPI 1053422287ActiveIndividual· Surgery· Vancouver, WA
Surgery (M.D.) in Vancouver, Washington, trained at University of Washington School of Medicine (class of 1996). 13 Medicare patients in 2024, $3,449 paid; nearly all of their 110 Part D prescriptions were generic (98%).
Overview
| NPI | 1053422287 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Jul 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD00043475 | WA |
| Surgery | 208600000X | MD23149 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (OR); Practitioner - General Surgery (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 28 across 12 procedure codes |
| Paid by Medicare | $3,449 |
Part D prescriptions in 2024
| Prescriptions (claims) | 110 · 114 30-day fills |
|---|---|
| Patients | 73 |
| Total drug cost | $1,271 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | General Surgery |
Medical group
- Kaiser Foundation Health Plan of the NorthwestSalem, OR · 1,807 clinicians
Hospital affiliation
- Kaiser Sunnyside Medical CenterClackamas, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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