James Patrick O'Toole, M.D.
NPI 1790936631ActiveIndividual· Plastic Surgery· Pittsburgh, PA
Plastic Surgery (M.D.) in Pittsburgh, Pennsylvania, trained at Saint Louis University School of Medicine (class of 1999). 42 Medicare patients in 2024, $45,560 paid; all of their 213 Part D prescriptions were generic. Motiva USA, LLC was the largest of 7 companies reporting payments in 2025, $186.31 in all, mostly food and beverage.
Overview
| NPI | 1790936631 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 9, 2008 |
| Last updated in NPPES | Nov 21, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | MD421397 | PA |
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 - Plastic and Reconstructive Surgery (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 42 |
|---|---|
| Services billed | 221 across 65 procedure codes |
| Paid by Medicare | $45,560 |
Part D prescriptions in 2024
| Prescriptions (claims) | 213 · 227 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $1,632 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Plastic And Reconstructive Surgery |
Hospital affiliation
- Upmc Presbyterian ShadysidePittsburgh, PA
Industry payments (Open Payments)
- 2025$186.31 · 9 payments from 7 companies
- 2024$86.26 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Motiva USA, LLC | $38.94 | 2 |
| Galderma Laboratories, L.P. | $36.25 | 2 |
| Bard Peripheral Vascular, Inc. | $33.55 | 1 |
| Tela Bio, Inc. | $26.95 | 1 |
| Avita Medical Americas, LLC | $18.93 | 1 |
What the 2025 payments were for
- Food and Beverage$186.31 · 9 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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