John Matthew Toole, MD
NPI 1609803121ActiveIndividual· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Charleston, SC
Thoracic Surgery (Cardiothoracic Vascular Surgery) (MD) in Charleston, South Carolina, trained at Emory University School of Medicine (class of 1998). Mostly services rather than prescriptions: Medicare paid $157,775 for 155 patients in 2024, with only 48 Part D claims. Atricure, Inc. was the largest of 7 companies reporting payments in 2025, $743.18 in all, mostly food and beverage.
Overview
| NPI | 1609803121 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 28, 2006 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | 24359 | SC |
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 - Cardiac Surgery (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 155 |
|---|---|
| Services billed | 349 across 39 procedure codes |
| Paid by Medicare | $157,775 |
Part D prescriptions in 2024
| Prescriptions (claims) | 48 · 72 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $290.90 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Cardiac Surgery |
| Secondary specialties | Thoracic Surgery |
Medical group
- Roper Saint Francis Physicians NetworkN Charleston, SC · 528 clinicians
Hospital affiliations
- Bon Secours-St Francis Xavier HospitalCharleston, SC
- Mount Pleasant HospitalMount Pleasant, SC
- Roper HospitalCharleston, SC
- Roper St Francis Hospital-Berkeley IncSummerville, SC
- Trident Medical CenterCharleston, SC
Other facilities
- Amedisys Home Health of Charleston EastHome health agency · Charleston, SC
- Roper-St. Francis Home HealthHome health agency · Charleston, SC
Industry payments (Open Payments)
- 2025$743.18 · 31 payments from 7 companies
- 2024$102.71 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Atricure, Inc. | $356.41 | 16 |
| Abiomed | $192.43 | 6 |
| Edwards Lifesciences Corporation | $63.78 | 4 |
| W. L. Gore & Associates, Inc. | $61.22 | 2 |
| Artivion, Inc. | $26.23 | 1 |
What the 2025 payments were for
- Food and Beverage$743.18 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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