2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1184247652 MD
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DANIEL O'TOOLE, MD

Plastic and Reconstructive Surgery Physician in PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
47
Medicare Part D claims · 22 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Industry payments
$75.04
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DANIEL O'TOOLE, MD is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in PROVIDENCE, Rhode Island with a Medicare Part D prescribing footprint of 47 claims across 22 beneficiaries . Industry payments of $75.04 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DANIEL O'TOOLE, MD filed 47 Medicare Part D claims in 2023 across PROVIDENCE, Rhode Island. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

DANIEL O'TOOLE, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

DANIEL O'TOOLE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/19/2020

NPI 1184247652

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

47 45% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in Rhode Island

How Plastic and Reconstructive Surgery Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Plastic and Reconstructive Surgery Physician share within Rhode Island

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Plastic and Reconstructive Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic and Reconstructive Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

DANIEL O'TOOLE, MD is a Plastic and Reconstructive Surgery Physician provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1184247652. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DANIEL O'TOOLE, MD appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding MD credentials at 593 EDDY ST, PROVIDENCE, RI, 02903, with a listed phone of (401) 444-4188. NPI 1184247652 was issued on 05/19/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'TOOLE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 47 prescription claims written by this provider, covering 22 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 42.6%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

593 EDDY ST
PROVIDENCE, RI 02903

Provider Details

NPI 1184247652
Specialty Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Male
NPI Issued 05/19/2020

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for DANIEL O'TOOLE, MD. Source: openpaymentsdata.cms.gov.

Total received

$75

Largest payer

AXOGEN

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

47
Total Claims
$1K
Total Drug Cost
22
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
47
Total Day Supply
471
Brand Drug Cost
$0
Generic Drug Cost
$1K
Opioid Claims
20 (42.6% rate)

Patient Demographics

Average Patient Age
67.6 years
Avg HCC Risk Score
1.13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Oxycodone Hcl
19
Ibuprofen
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic and Reconstructive Surgery Physician Overview

How DANIEL O'TOOLE, MD fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

DANIEL O'TOOLE, MD's 47 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as O'TOOLE.

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DANIEL O'TOOLE, MD's specialty?
DANIEL O'TOOLE, MD specializes in Plastic and Reconstructive Surgery Physician and practices in PROVIDENCE, Rhode Island. Credentials: MD.
How much does DANIEL O'TOOLE, MD prescribe under Medicare Part D?
In 2023, DANIEL O'TOOLE, MD wrote 47 Medicare Part D claims totaling $1K in drug costs for 22 beneficiaries.
Where is DANIEL O'TOOLE, MD located?
DANIEL O'TOOLE, MD is located at 593 EDDY ST, PROVIDENCE, RI, 02903. Phone: (401) 444-4188.
What is DANIEL O'TOOLE, MD's NPI number?
DANIEL O'TOOLE, MD's National Provider Identifier (NPI) is 1184247652, issued on 05/19/2020.
Does DANIEL O'TOOLE, MD prescribe opioids?
Yes, DANIEL O'TOOLE, MD had 20 opioid claims in 2023 with an opioid prescribing rate of 42.6%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does DANIEL O'TOOLE, MD prescribe most often?
Based on 2023 Medicare Part D data, DANIEL O'TOOLE, MD's most frequently prescribed drugs include Oxycodone Hcl, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DANIEL O'TOOLE, MD accept Medicare?
DANIEL O'TOOLE, MD appears in CMS Medicare data with 47 Part D claims and 22 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DANIEL O'TOOLE, MD's credentials?
DANIEL O'TOOLE, MD's NPI is 1184247652 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology