John Michael O'Toole, M.D.
NPI 1922048057ActiveIndividual· Emergency Medicine· Ashtabula, OH
Emergency Medicine (M.D.) in Ashtabula, Ohio, trained at University of Cincinnati College of Medicine (class of 1989). Mostly services rather than prescriptions: Medicare paid $5,421 for 76 patients in 2024, with only 15 Part D claims.
Overview
| NPI | 1922048057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 35066945O | OH |
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 - Hospitalist (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 86 across 20 procedure codes |
| Paid by Medicare | $5,421 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 15 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $53.50 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Hospitalist |
| Secondary specialties | Emergency Medicine, General Surgery |
Medical group
- North East Ohio Group Practice LLCMiddlebrg Hts, OH · 23 clinicians
Hospital affiliation
- Southwest General Health CenterMiddleburg Heights, OH
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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