Dr. James Patrick O'Toole, MD
- Medicare services, 2024
- 13
- Medicare patients, 2024
- 42
- Part D claims, 2024
- 213
- Hospital affiliations
- 1
- Industry payments
- $4,371
- Practice address
- 5830 Ellsworth Avenue Suite 300 Suite 300, Pittsburgh, PA 15232
- Practice phone
- Call (412) 645-1615
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
O'toole Plastic Surgery
Surgical practice · Pittsburgh, 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. James Patrick O'Toole is a plastic surgeon in Pittsburgh, Pennsylvania
Dr. O'Toole practices at O'toole Plastic Surgery in Pittsburgh, Pennsylvania.
Dr. O'Toole's NPI, 1790936631, was assigned on October 9, 2008. Dr. O'Toole graduated from Saint Louis University School of Medicine in 1999. Dr. O'Toole holds Pennsylvania license MD421397.
- NPI
- 1790936631NPI Registry (opens in a new tab)
- Medicare PAC ID
- 9032278684
- NPI enumeration date
- October 9, 2008
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (412) 645-1615
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 53
- Medical school graduation
- 1999
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. James Patrick O'Toole practices at O'toole Plastic Surgery in Pittsburgh, Pennsylvania
Dr. O'Toole's primary practice is O'toole Plastic Surgery, at 5830 Ellsworth Avenue Suite 300 Suite 300, Pittsburgh, PA 15232. The practice phone is (412) 645-1615.
- O'toole Plastic Surgery5830 Ellsworth Avenue Suite 300 Suite 300, Pittsburgh, PA 15232Phone(412) 645-1615
Source: Dmand AI Affiliation Data
Dr. James Patrick O'Toole is affiliated with 2 sites of care and 1 medical group
Dr. O'Toole's primary practice is O'toole Plastic Surgery in Pittsburgh, Pennsylvania. Dr. O'Toole is also affiliated with UPMC Presbyterian. Dmand AI also links Dr. O'Toole to 1 more medical group, named with a free account.
Source: Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. James Patrick O'Toole's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. O'Toole practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| O'toole Plastic Surgery | Available with a free account |
| +1 more site and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. James Patrick O'Toole is one of 182 plastic surgeons in Pennsylvania
Plastic surgery is Dr. O'Toole's primary specialty in the NPI Registry, under taxonomy code 208200000X. Dr. O'Toole is licensed in Pennsylvania.
Specialties and state licenses
- Plastic surgery, PennsylvaniaPrimary
Plastic surgeons near Dr. O'Toole
Counts of plastic surgeons 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. James Patrick O'Toole billed Medicare for 13 services in 2024
CMS data shows 13 Medicare services from Dr. O'Toole across 1 procedure code in 2024, all of them office visits, for 42 Medicare patients. Medicare paid $1,065 for them. Every service was in an office.
Dr. O'Toole's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 482024: 1373%
Dr. O'Toole compared with the Pennsylvania median for plastic surgeons, 2024
- Dr. O'Toole
- Pennsylvania median
- Medicare services
- 13vs 5777% below
- Medicare patients
- 42vs 6131% below
- Part D claims
- 175vs 296.0 times
Medians across 170 plastic surgeons 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 plastic surgeons in Pennsylvania.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. James Patrick O'Toole treated 42 Medicare patients in 2024, average age 72
CMS counts 42 Medicare patients who saw Dr. O'Toole in 2024. The largest group is 65 to 74, with 21 patients. 75% of them have high cholesterol, and 60% have arthritis. Their average risk score is 1.35, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. O'Toole's median patient age at 59, with 73% women.
Dr. O'Toole's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. O'Toole's Medicare patients by sex, 2024
- Women2662%
- Men1638%
Chronic conditions among Dr. O'Toole's Medicare patients, 2024
- High cholesterol75%
- Arthritis60%
- High blood pressure55%
- Cancer38%
- Depression33%
- Mood disorders33%
- Anxiety31%
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 59
Patient panel by sex, all payers
- Women73%
- Men26%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. James Patrick O'Toole wrote 213 Medicare Part D claims in 2024
In 2024, Dr. O'Toole wrote 213 Medicare Part D claims for 71 patients. 100% of them were for generic drugs. CMS names the drug for 175 of them, across 5 drugs with 11 or more claims each, at $747 in total drug cost. In 2023, CMS named 147 claims across 5 drugs.
Dr. O'Toole's Part D claims by kind of drug, 2024
- Generic212 claims100%
- Brand-name and other1 claims0%
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.
Drug classes CMS tracks in Dr. O'Toole's Part D claims, 2024
- Opioids23%50 of 213 claims
- Antibiotics43%91 of 213 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 1472024: 17519%
Drugs named by CMS: 5 in 2024, 5 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. James Patrick O'Toole ranks in the 67th percentile for melanoma (skin cancer) excision in Medicare
Dr. O'Toole accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 13 procedures of melanoma (skin cancer) excision by Dr. O'Toole, more than 67% of the clinicians it reports for that procedure.
- Accepts Medicare assignment
- Yes
Where Dr. O'Toole ranks in Medicare procedure volume
- Melanoma (skin cancer) excision
- 67th percentile13 procedures
CMS ranks each clinician against every clinician it reports for the same procedure category.
Mastectomy: 1 to 10 procedures (CMS shows small counts as a range)
Removal of skin lesions: 1 to 10 procedures (CMS shows small counts as a range)
Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)
Sources: Doctors and Clinicians National Downloadable File (CMS); and Doctors and Clinicians Utilization Data (CMS)
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Dr. James Patrick O'Toole received $4,371 in industry payments from 2016 to 2025
CMS Open Payments shows 177 general payments to Dr. O'Toole from 27 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 100% of the total. Davol Inc. paid the most, $1,309.
General payments to Dr. O'Toole by program year, 2016 to 2025
General payments to Dr. O'Toole by kind, 2016 to 2025
- Food and beverage$4,351100%
- Education$200%
Companies that paid Dr. O'Toole the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. James Patrick O'Toole graduated from Saint Louis University School of Medicine
Dr. O'Toole graduated from Saint Louis University School of Medicine in 1999.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. James Patrick O'Toole'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 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)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. James Patrick O'Toole
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. James Patrick O'Toole's NPI number?
Dr. James Patrick O'Toole's NPI number is 1790936631. It was assigned on October 9, 2008, and it is active in the NPI Registry.
What kind of doctor is Dr. James Patrick O'Toole?
Dr. James Patrick O'Toole is a plastic surgeon in Pittsburgh, Pennsylvania. The primary specialty in the NPI Registry is Plastic Surgery Physician (taxonomy code 208200000X).
Where does Dr. James Patrick O'Toole practice?
Dr. O'Toole practices at 5830 Ellsworth Avenue Suite 300 Suite 300, Pittsburgh, PA 15232. Dr. O'Toole's primary practice is O'toole Plastic Surgery in Pittsburgh, Pennsylvania. Dmand AI also links Dr. O'Toole to 1 medical group.
What is Dr. James Patrick O'Toole's office phone number?
The practice phone on file for Dr. O'Toole is (412) 645-1615.
What is Dr. James Patrick O'Toole's medical license number?
Dr. O'Toole holds Pennsylvania license MD421397.
Which hospitals is Dr. James Patrick O'Toole affiliated with?
Dr. O'Toole is affiliated with UPMC Presbyterian.
Does Dr. James Patrick O'Toole accept Medicare?
Yes. CMS data shows Dr. O'Toole billed Medicare for 13 services in 2024, and Dr. O'Toole accepts Medicare assignment.
How many Medicare patients does Dr. James Patrick O'Toole see?
CMS counts 42 Medicare patients who saw Dr. O'Toole in 2024, with an average age of 72.
What services does Dr. James Patrick O'Toole bill to Medicare?
In 2024, Dr. O'Toole's most billed Medicare services were office visit, established patient (99214).
Where did Dr. James Patrick O'Toole go to medical school?
Dr. O'Toole graduated from Saint Louis University School of Medicine in 1999.
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What drugs does Dr. James Patrick O'Toole prescribe most?
In 2024 Medicare Part D data, Dr. O'Toole's most prescribed drugs by claims were Cefadroxil, Ondansetron HCl and Doxycycline Hyclate.
Has Dr. James Patrick O'Toole received payments from drug or device companies?
CMS Open Payments shows $4,371 in general payments to Dr. O'Toole from 27 companies from 2016 to 2025. The largest total came from Davol Inc.
How long has Dr. James Patrick O'Toole been practicing?
Dr. O'Toole graduated from medical school in 1999, 27 years ago.
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