NPPES file of Aug 9, 2026

Joseph Frederick O'Toole, MD

Cardiovascular Disease Physician · Pittsburgh, PA

Joseph Frederick O'Toole, MD is a cardiovascular disease physician with a practice address in Pittsburgh, Pennsylvania, and NPI 1821093931, issued on Jun 15, 2005. Check the license (Pennsylvania MD071059L, 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 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1821093931
Name
Joseph Frederick O'Toole
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
MD071059L PA
Self-reported in NPPES; status is on the state search
Practice location
5200 Centre Ave, Pittsburgh, PA 15232
Phone
(412) 687-8300
Enumerated
Jun 15, 2005
Record last updated
Dec 26, 2013 (not updated in 13 years: call before relying on the address or phone)
Fax
(412) 687-8391
Medicaid ID
1008318450001 PA
Medicare enrollment
Enrolled (PECOS I20040413001296); accepts Medicare assignment
Medical or professional school
St. Louis College Of Physicians And Surgeons, 1997
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.
Download card Updates feed

Also registered at 5200 Centre Ave

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

  1. Hassan AlhassanStudent in an Organized Health Care Education/Training Program1073136206
  2. Eric Anish, MDSpecialist1316919707
  3. George Arnold, M.D.Gastroenterology Physician1316903677
  4. M Ayasso, M.D.Legal Medicine1295726693
  5. Miranda BabiakSpeech-Language Pathologist1366882532
  6. William BarringtonClinical Cardiac Electrophysiology Physician1356313613

Verify Joseph Frederick 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 MD071059L
    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

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

88% more Medicare Part D claims than the average cardiovascular disease physician in 2024

5,800 Medicare Part D claims for 802 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.

  1. Joseph O'Toole5,800
  2. Specialty average3,078

Most prescribed

  1. Eliquis661 claims
  2. Rosuvastatin Calcium502 claims
  3. Metoprolol Tartrate357 claims
  4. Metoprolol Succinate356 claims
  5. Atorvastatin Calcium304 claims
  6. Amlodipine Besylate250 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.

The MIPS final score for 2023 (Medicare payment program): 93.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,178.74

70 payments; by number, the most common kind was food and beverage; the largest payer was Novartis Pharmaceuticals Corporation. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Joseph O'Toole$1,178.74
  2. Specialty average$3,819.56

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

Bills Medicare through one group practice

  1. Cardiovascular Disease Specialists OF Pittsburgh PCPittsburgh, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Joseph Frederick O'Toole among 1,476 cardiovascular disease physician records in Pennsylvania

Joseph Frederick O'Toole, MD is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 80% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated1997 · median 2000 among the 1,003 with a school on file
  • Record last updated2013 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Pennsylvania

There are 1,476 cardiovascular disease physician records in Pennsylvania.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Robert Coblentz, MDPittsburgh, PA 152321154363828
  2. Imad Domat, MDPittsburgh, PA 152321023012457
  3. Jerome Itzkoff, MDPittsburgh, PA 152321972558815
  4. Andreas Kyvernitakis, M.D.Pittsburgh, PA 152321538556717
  5. Joshua LevensonPittsburgh, PA 152321053606061
  6. James O'Toole, MDPittsburgh, PA 152321043214463
  7. Boyanapalli RaoPittsburgh, PA 152321225041494
  8. Robert Ruffner, MDPittsburgh, PA 152321871531632

Common questions

What is Joseph Frederick O'Toole, MD's NPI number?

Joseph Frederick O'Toole, MD's National Provider Identifier (NPI) is 1821093931, issued on Jun 15, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Joseph Frederick O'Toole, MD located?

The NPPES record lists a practice address at 5200 Centre Ave, Pittsburgh, PA, 15232. Phone: (412) 687-8300. Providers update this record themselves, so call before visiting.

How can I verify Joseph Frederick O'Toole, MD's license?

NPPES lists Pennsylvania license number MD071059L, 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 Joseph Frederick O'Toole, MD prescribe under Medicare Part D?

In 2024, Joseph Frederick O'Toole, MD had 5,800 Medicare Part D claims for 802 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Joseph Frederick O'Toole, MD's MIPS final score?

The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

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.