Dr. William J. O'Toole Jr., MD
- Medicare services, 2024
- 476
- Medicare patients, 2024
- 279
- Part D claims, 2024
- 539
- MIPS score, 2024
- 97
- Hospital affiliations
- 3
- Practice address
- 1107 Bethlehem Pike, Sellersville, PA 18960
- Practice phone
- Call (215) 257-3011
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
St. Luke's Endoscopy Center - Buxmont
Surgery Center - Medicare-Certified · Sellersville, Pennsylvania
Find Dr. O'Toole's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. William J. O'Toole Jr. is a gastroenterologist in Sellersville, Pennsylvania
Dr. O'Toole practices at St. Luke's Endoscopy Center - Buxmont in Sellersville, Pennsylvania.
Dr. O'Toole's NPI, 1467474874, was assigned on July 24, 2006. Dr. O'Toole graduated from Hahnemann University College of Medicine in 1984. Dr. O'Toole holds Pennsylvania license MD033835E.
- NPI
- 1467474874NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6901854736
- NPI enumeration date
- July 24, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (215) 257-3011
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 68
- Medical school graduation
- 1984
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. William J. O'Toole Jr. practices at St. Luke's Endoscopy Center - Buxmont in Sellersville, Pennsylvania
Dr. O'Toole's primary practice is St. Luke's Endoscopy Center - Buxmont, at 1107 Bethlehem Pike, Sellersville, PA 18960. The practice phone is (215) 257-3011.
- St. Luke's Endoscopy Center - Buxmont1107 Bethlehem Pike, Sellersville, PA 18960Phone(215) 257-3011
Source: Dmand AI Affiliation Data
Dr. William J. O'Toole Jr. is affiliated with 5 sites of care and 2 medical groups
Dr. O'Toole's primary practice is St. Luke's Endoscopy Center - Buxmont in Sellersville, Pennsylvania. Dr. O'Toole is also affiliated with St. Luke's Grand View Hospital - Sellersville. The medical group on file is St. Luke's South Mountain Family Practice. Dmand AI also links Dr. O'Toole to 2 more hospitals, 1 group practice or clinic and 1 medical group, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. William J. O'Toole Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. O'Toole practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| St. Luke's Endoscopy Center - Buxmont | Available with a free account |
| +4 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. William J. O'Toole Jr. is one of 899 gastroenterologists in Pennsylvania
Gastroenterology is Dr. O'Toole's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. O'Toole is licensed in Pennsylvania.
Specialties and state licenses
- Gastroenterology, PennsylvaniaPrimary
Gastroenterologists near Dr. O'Toole
Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. William J. O'Toole Jr. billed Medicare for 476 services in 2024
CMS data shows 476 Medicare services from Dr. O'Toole across 13 procedure codes in 2024, for 279 Medicare patients. Medicare paid $47,710 for them.
Dr. O'Toole's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 3362024: 3302%
- Surgery
- 2023: 1252024: 10615%
- Other services
- 2023: 222024: 4082%
Where Dr. O'Toole's Medicare services took place, 2024
- In an office21946%
- In a facility25754%
Dr. O'Toole compared with the Pennsylvania median for gastroenterologists, 2024
- Dr. O'Toole
- Pennsylvania median
- Medicare services
- 476vs 40119% above
- Medicare patients
- 279vs 2945% below
- Part D claims
- 439vs 37517% above
Medians across 899 gastroenterologists in Pennsylvania with Dmand AI profiles that report each measure.
Dr. O'Toole's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. O'Toole?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. O'Toole and other gastroenterologists in Pennsylvania.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. William J. O'Toole Jr. treated 279 Medicare patients in 2024, average age 73
CMS counts 279 Medicare patients who saw Dr. O'Toole in 2024. The largest group is 65 to 74, with 144 patients. 75% of them have high cholesterol, and 74% have high blood pressure. 10% are also on Medicaid. Their average risk score is 1.58, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. O'Toole's median patient age at 65, with 53% women.
Dr. O'Toole's Medicare patients by age, 2024
Dr. O'Toole's Medicare patients by sex, 2024
- Women15054%
- Men12946%
Chronic conditions among Dr. O'Toole's Medicare patients, 2024
- High cholesterol75%
- High blood pressure74%
- Arthritis45%
- Chronic kidney disease33%
- Mood disorders30%
- Anxiety28%
- Diabetes28%
- Depression27%
Share of Medicare patients with each condition. A patient can have several.
Dr. O'Toole's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 65
Patient panel by sex, all payers
- Women53%
- Men46%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. William J. O'Toole Jr. wrote 539 Medicare Part D claims in 2024
In 2024, Dr. O'Toole wrote 539 Medicare Part D claims for 150 patients. 88% of them were for generic drugs. CMS names the drug for 439 of them, across 7 drugs with 11 or more claims each, at $25,704 in total drug cost. In 2023, CMS named 513 claims across 11 drugs.
Dr. O'Toole's Part D claims by kind of drug, 2024
- Generic473 claims88%
- Brand-name66 claims12%
Dr. O'Toole's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 5132024: 43914%
Drugs named by CMS: 7 in 2024, 11 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. William J. O'Toole Jr. scored 97 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. O'Toole for performance year 2024, reported through an alternative payment model (APM). Dr. O'Toole accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. O'Toole as offering telehealth. CMS counts 116 procedures of colonoscopy by Dr. O'Toole, more than 83% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. O'Toole's MIPS scores, performance year 2024
- 97of 100Final score
- 82.3of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Where Dr. O'Toole ranks in Medicare procedure volume
- Colonoscopy
- 83rd percentile116 procedures
- Upper gastrointestinal (GI) endoscopy for acid reflux
- 71st percentile78 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)
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Dr. William J. O'Toole Jr. received $1,486 in industry payments from 2016 to 2018
CMS Open Payments shows 110 general payments to Dr. O'Toole from 17 drug and device companies from 2016 to 2018. Food and beverage make up the largest share, 100% of the total. Takeda Pharmaceuticals U.S.A., Inc. paid the most, $241.
General payments to Dr. O'Toole by program year, 2016 to 2018
Companies that paid Dr. O'Toole the most, 2016 to 2018
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. William J. O'Toole Jr. graduated from Hahnemann University College of Medicine
Dr. O'Toole graduated from Hahnemann University College of Medicine in 1984.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. William J. O'Toole Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. William J. O'Toole Jr.
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. William J. O'Toole Jr.'s NPI number?
Dr. William J. O'Toole Jr.'s NPI number is 1467474874. It was assigned on July 24, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. William J. O'Toole Jr.?
Dr. William J. O'Toole Jr. is a gastroenterologist in Sellersville, Pennsylvania. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).
Where does Dr. William J. O'Toole Jr. practice?
Dr. O'Toole practices at 1107 Bethlehem Pike, Sellersville, PA 18960. Dr. O'Toole's primary practice is St. Luke's Endoscopy Center - Buxmont in Sellersville, Pennsylvania. Dmand AI also links Dr. O'Toole to 2 hospitals, 1 group practice or clinic and 1 medical group.
What is Dr. William J. O'Toole Jr.'s office phone number?
The practice phone on file for Dr. O'Toole is (215) 257-3011.
What is Dr. William J. O'Toole Jr.'s medical license number?
Dr. O'Toole holds Pennsylvania license MD033835E.
Which hospitals is Dr. William J. O'Toole Jr. affiliated with?
Dr. O'Toole is affiliated with St. Luke's Grand View Hospital - Sellersville. Dmand AI links Dr. O'Toole to 2 more hospitals.
What medical group is Dr. William J. O'Toole Jr. part of?
Dr. O'Toole is linked to St. Luke's South Mountain Family Practice. Dmand AI links Dr. O'Toole to 1 more medical group.
Does Dr. William J. O'Toole Jr. accept Medicare?
Yes. CMS data shows Dr. O'Toole billed Medicare for 476 services in 2024, and Dr. O'Toole accepts Medicare assignment.
Does Dr. William J. O'Toole Jr. offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. O'Toole as offering telehealth services.
What is Dr. William J. O'Toole Jr.'s MIPS score?
Dr. O'Toole's MIPS final score for performance year 2024 is 97 out of 100, reported through an alternative payment model (APM).
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How many Medicare patients does Dr. William J. O'Toole Jr. see?
CMS counts 279 Medicare patients who saw Dr. O'Toole in 2024, with an average age of 73.
What services does Dr. William J. O'Toole Jr. bill to Medicare?
In 2024, Dr. O'Toole's most billed Medicare services were office visit, established patient (99214), hospital inpatient care (99232) and office visit, established patient (99213).
Where did Dr. William J. O'Toole Jr. go to medical school?
Dr. O'Toole graduated from Hahnemann University College of Medicine in 1984.
What drugs does Dr. William J. O'Toole Jr. prescribe most?
In 2024 Medicare Part D data, Dr. O'Toole's most prescribed drugs by claims were Pantoprazole Sodium, Famotidine and Omeprazole.
Has Dr. William J. O'Toole Jr. received payments from drug or device companies?
CMS Open Payments shows $1,486 in general payments to Dr. O'Toole from 17 companies from 2016 to 2018. The largest total came from Takeda Pharmaceuticals U.S.A., Inc.
How long has Dr. William J. O'Toole Jr. been practicing?
Dr. O'Toole graduated from medical school in 1984, 42 years ago.
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