Terrance O'Toole, D.O
NPI 1134281843 · Gastroenterology Physician · Cincinnati, OH
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Terrance O'Toole, D.O is a Gastroenterology Physician provider in Cincinnati, OH (NPI 1134281843).
Provider details
- NPI number
- 1134281843
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O
- Sex
- Male
- Sole proprietor
- No
- License
- 34-008726 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
817 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 149 | $236 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 106 | $88 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 95 | $86 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 87 | $112 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 79 | $116 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 32 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 494 | 137 |
| Omeprazole | 367 | 95 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 112 | 112 |
| Famotidine | 105 | 19 |
| Balsalazide Disodium | 82 | 14 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 73 | 72 |
| Dicyclomine Hcl | 53 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,928 across 134 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-16
- Last updated
- 2024-04-18
- Certified
- 2024-04-18
Frequently asked questions
- What is Terrance O'Toole's NPI number?
- Terrance O'Toole's National Provider Identifier (NPI) is 1134281843, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Terrance O'Toole's specialty?
- Terrance O'Toole is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Terrance O'Toole located?
- Terrance O'Toole's practice location on file with NPPES is 2925 Vernon Pl, Cincinnati, OH 45219-2425.
- What is Terrance O'Toole's phone number?
- The practice phone number listed in the NPPES registry for Terrance O'Toole is (513) 751-6667.
- Does Terrance O'Toole accept Medicare?
- Terrance O'Toole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Terrance O'Toole's NPI active?
- Yes — Terrance O'Toole's NPI (1134281843) is active in the NPPES registry as of the last update on 2024-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.