Shaun M. Toomey, M.D.
Pulmonary Disease Physician · Worcester, MA
Shaun M. Toomey, M.D. is a pulmonary disease physician with a practice address in Worcester, Massachusetts, and NPI 1255794293, issued on Mar 29, 2016. Check the license (Massachusetts 292495, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- Shaun M. Toomey
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 292495 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Lake Ave N, Worcester, MA 01655
- Phone
- (508) 334-1975
- Enumerated
- Mar 29, 2016
- Record last updated
- Jun 8, 2023
- Medicaid ID
- 110115243A MA
- Medicare enrollment
- Enrolled (PECOS I20221130000562); accepts Medicare assignment
- Medical or professional school
- University Of Rochester School Of Medicine And Dentistry, 2016
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 55 Lake Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Nawal Aamir, MDInternal Medicine Physician1588248926
- Amarys Abadie, CRNACertified Registered Nurse Anesthetist1992936843
- Paula Abate, NPNurse Practitioner1336265909
- Aly AbayazeedDiagnostic Radiology Physician1821221946
- Zainab AbbasDermatology Physician1609028000
- Mary-Alice Abbott, MDClinical Genetics (M.D.) Physician1982799417
Verify Shaun M. Toomey in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 292495Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
54% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
658 Medicare Part D claims for 127 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 55% of claims. 37 claims were for opioids.
Most prescribed
- Breztri Aerosphere65 claims
- Prednisone65 claims
- Trelegy Ellipta61 claims
- Albuterol Sulfate Hfa53 claims
- Anoro Ellipta35 claims
- Ipratropium Bromide32 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): 97 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Umass Memorial Medical Group IncWorcester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pulmonary Disease Physician providers in Massachusetts
There are 569 pulmonary disease physician records in Massachusetts.
Other pulmonary disease physician records in Massachusetts
- Raja-Elie Abdulnour, MDBoston, MA1598819393
- Mohammad Abu Hishmeh, M.DSpringfield, MA1841608890
- Ghazwan Acash, M.D.Burlington, MA1710187331
- Payam Aghassi, MDLeominster, MA1093704298
- Robert Aisenberg, MDFall River, MA1154488492
- Robert Ajello, MDGreenfield, MA1518930916
- Daniel Alape Moya, MDHyannis, MA1477058816
- Ala Alkhatib, MBBSBrighton, MA1912313388
- Kassandra Allbright, MDSpringfield, MA1194213942
- Marcus Alpert, MDWorcester, MA1205327194
Common questions
What is Shaun M. Toomey, M.D.'s NPI number?
Shaun M. Toomey, M.D.'s National Provider Identifier (NPI) is 1255794293, issued on Mar 29, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Shaun M. Toomey, M.D. located?
The NPPES record lists a practice address at 55 Lake Ave N, Worcester, MA, 01655. Phone: (508) 334-1975. Providers update this record themselves, so call before visiting.
How can I verify Shaun M. Toomey, M.D.'s license?
NPPES lists Massachusetts license number 292495, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Shaun M. Toomey, M.D. prescribe under Medicare Part D?
In 2024, Shaun M. Toomey, M.D. had 658 Medicare Part D claims for 127 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Shaun M. Toomey, M.D.'s MIPS final score?
The 2023 MIPS final score is 97 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.