Active NPI 1922048057 Individual Practitioner Male Practitioner

Dr. John Michael O'toole , MD

Emergency Medicine • Ashtabula, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John O'Toole, MD is a certified Emergency Medicine practicing in Ashtabula, OH. With approximately 37 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1989, Dr. O'Toole delivers high-quality medical care to the local community at 2420 LAKE AVE.

Dr. O'Toole is affiliated with North East Ohio Group Practice Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, emergency department visit with moderate level of medical decision making, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2420 Lake Ave

Ashtabula, OH 440044954

Telephone 4409972262

Associated Practice Facility / Clinic

🏢 Ashtabula County Medical Center Facility NPI 1285607416

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Ashtabula, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +14.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 21.5 Yrs

Regional Practice Density

5 Specialists

Practicing in Ashtabula, OH (3084 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. O'toole (37 Years) 37 Yrs

Ashtabula Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$312.00	$78.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$312.00	$80.54
99284 Emergency department visit with moderate level of medical decision making	12	12	$1020.67	$118.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$221.00	$76.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$121.00	$37.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$267.00	$85.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$273.88	$87.42
99218 Hospital observation care typically 30 minutes	15	15	$312.33	$99.37
99285 Emergency department visit for life threatening or functioning severity	13	13	$1294.00	$175.45
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$319.36	$101.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99201 New patient office or other outpatient visit, typically 10 minutes	25	25	$64.52	$26.28
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	16	$332.31	$85.45
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$259.07	$99.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99201 New patient office or other outpatient visit, typically 10 minutes	31	31	$53.00	$25.73
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$203.00	$97.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	14	$83.00	$37.71
99218 Hospital observation care typically 30 minutes	12	12	$193.00	$96.12
99285 Emergency department visit for life threatening or functioning severity	11	11	$1178.36	$164.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$203.00	$95.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	32	$80.94	$37.21
99201 New patient office or other outpatient visit, typically 10 minutes	23	23	$53.00	$25.34
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	16	15	$248.44	$117.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$143.00	$68.17
99284 Emergency department visit with moderate level of medical decision making	13	13	$762.00	$157.22

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License OH 35066945O

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0984869 (OH)

Commercial Insurance / Payer ID Caresource

942460636127 (OH)

Commercial Insurance / Payer ID Medicare Travelers Rr-Ga

P00220350 (OH)

Hospital & Practice Group Affiliations

North East Ohio Group Practice Llc

18697 Bagley Rd, Middlebrg Hts, OH 441303417

Phone: 4408168000

North East Ohio Group Practice Llc

2351 E 22nd St, Cleveland, OH 441153111

Phone: 2168616200

North East Ohio Group Practice Llc

2351 E 22nd St, Cleveland, OH 441153111

Phone: 2165922830

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Helen Lee , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003801192

Certified Registered Nurse Anesthetist

Dr. Apollo Rivera , MD

Personal Emergency Response Attendant

NPI 1003823493

Doctor of Medicine (M.D.)

Dr. Daniel Solomon , MD

Anesthesiology

NPI 1063407245

Doctor of Medicine (M.D.)

Dr. Michael St. Marie , MD

Emergency Medicine

NPI 1114974219

Doctor of Medicine (M.D.)

Dr. Ronald Casselberry , MD

Anesthesiology

NPI 1184619678

Doctor of Medicine (M.D.)

Amy Pohl , RN

Registered Nurse

NPI 1245163765

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2420 LAKE AVE, ASHTABULA, OH 440044954 (Tel: 4409972262)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1751 FARRS GARDEN PATH, CLEVELAND, OH 441452067

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN O'TOOLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #35066945O in OH)

🟢

Initial NPI Registration & Enumeration June 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922048057

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 07, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1751 Farrs Garden Path

Cleveland, OH 441452067

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.