Paul Toofan, M.D.
NPI 1013989805 · Emergency Medicine Physician · Effingham, IL
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Toofan, M.D. is a Emergency Medicine Physician provider in Effingham, IL (NPI 1013989805).
Provider details
- NPI number
- 1013989805
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036112112 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
789 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| X-Ray of Chest, 2 Views71046 | 174 | $31 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 79 | $161 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 70 | $28 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 60 | $41 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 58 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 19 | 19 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Frequently asked questions
- What is Paul Toofan's NPI number?
- Paul Toofan's National Provider Identifier (NPI) is 1013989805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Toofan's specialty?
- Paul Toofan is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Toofan located?
- Paul Toofan's practice location on file with NPPES is 1001 Avenue of Mid America, Effingham, IL 62401-4634.
- What is Paul Toofan's phone number?
- The practice phone number listed in the NPPES registry for Paul Toofan is (217) 994-9301.
- Does Paul Toofan accept Medicare?
- Paul Toofan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Toofan's NPI active?
- Yes — Paul Toofan's NPI (1013989805) is active in the NPPES registry as of the last update on 2020-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.