NPPES file of Aug 9, 2026

James Patrick O'Toole, M.D.

Plastic Surgery Physician · Pittsburgh, PA

James Patrick O'Toole, M.D. is a plastic surgery physician with a practice address in Pittsburgh, Pennsylvania, and NPI 1790936631, issued on Oct 9, 2008. Check the license (Pennsylvania MD421397, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1790936631
Name
James Patrick O'Toole
Credential
M.D.
Primary taxonomy
Plastic Surgery Physician 208200000X
License number
MD421397 PA
Self-reported in NPPES; status is on the state search
Practice location
5830 Ellsworth Ave, Pittsburgh, PA 15232
Phone
(412) 345-1615
Enumerated
Oct 9, 2008
Record last updated
Nov 21, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(412) 345-1613
Medicare enrollment
Enrolled (PECOS I20081111000632); accepts Medicare assignment
Medical or professional school
Saint Louis University School Of Medicine, 1999
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 5830 Ellsworth Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeffrey Falleroni, SLPSpeech-Language Pathologist1417274341
  2. Sandra McCool, PTPhysical Therapist1225355159
  3. Jordan Stash, MS, NCC, LPCProfessional Counselor1043804685
  4. Megan Tomley, LPCProfessional Counselor1467348169

Verify James Patrick O'Toole in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD421397
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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2.3 times the Medicare Part D claims of the average plastic surgery physician in 2024

213 Medicare Part D claims for 71 beneficiaries, against an average of 93 among the 3,527 providers of this specialty who prescribed in Part D. 50 claims were for opioids.

  1. James O'Toole213
  2. Specialty average93

Most prescribed

  1. Cefadroxil53 claims
  2. Ondansetron Hcl50 claims
  3. Doxycycline Hyclate30 claims
  4. Oxycodone-Acetaminophen30 claims
  5. Tramadol Hcl12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $86.26

4 payments; by number, the most common kind was food and beverage; the largest payer was Bard Peripheral Vascular, Inc. The 3,683 providers of this specialty with any payment received $5,316.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James O'Toole$86.26
  2. Specialty average$5,316.31

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Plastic Surgery Physician providers in Pennsylvania

There are 227 plastic surgery physician records in Pennsylvania.

Other plastic surgery physician records in Pennsylvania

  1. Monique Abner, MDReading, PA1003842170
  2. Kendra Ackerman, PA-CPhiladelphia, PA1790652568
  3. David Adcock, M.D.Wilkes Barre, PA1750386066
  4. Shagun Aggarwal, M.D.Philadelphia, PA1295116473
  5. Nicholas Albano, M.D.Bethlehem, PA1538546643
  6. Oluseyi Aliu, M.D.Pittsburgh, PA1114138625
  7. Dalit Amar, MDPittsburgh, PA1215392311
  8. Jeffrey Antimarino, M.D.Pittsburgh, PA1417067760
  9. Jame Arnold, MDLebanon, PA1629042015
  10. Alisha Arora, MDLancaster, PA1588873632

Common questions

What is James Patrick O'Toole, M.D.'s NPI number?

James Patrick O'Toole, M.D.'s National Provider Identifier (NPI) is 1790936631, issued on Oct 9, 2008. An NPI identifies a provider in billing; it is not a license.

Where is James Patrick O'Toole, M.D. located?

The NPPES record lists a practice address at 5830 Ellsworth Ave, Pittsburgh, PA, 15232. Phone: (412) 345-1615. Providers update this record themselves, so call before visiting.

How can I verify James Patrick O'Toole, M.D.'s license?

NPPES lists Pennsylvania license number MD421397, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Patrick O'Toole, M.D. prescribe under Medicare Part D?

In 2024, James Patrick O'Toole, M.D. had 213 Medicare Part D claims for 71 beneficiaries; the average among plastic surgery physician prescribers was 93. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.