James O'Toole, D.C.
NPI 1245264746 · Chiropractor · Mission Viejo, CA
Enrolled with Medicare as Practitioner - Chiropractic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James O'Toole, D.C. is a Chiropractor provider in Mission Viejo, CA (NPI 1245264746).
Provider details
- NPI number
- 1245264746
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DC18571 (CA)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 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
1,079 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) |
|---|---|---|
| Chiropractic Manipulative Treatment, 5 Spinal Regions98942 | 1,005 | $54 |
| Chiropractic Manipulative Treatment, 3-4 Spinal Regions98941 | 74 | $42 |
Typical Medicare-allowed amounts for these services range $42–$54 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2023-07-15
- Certified
- 2023-07-15
Frequently asked questions
- What is James O'Toole's NPI number?
- James O'Toole's National Provider Identifier (NPI) is 1245264746, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James O'Toole's specialty?
- James O'Toole is listed in the NPPES registry with a primary specialty of Chiropractor (Chiropractic Providers).
- Where is James O'Toole located?
- James O'Toole's practice location on file with NPPES is 27772 Vista Del Lago Ste B14, Mission Viejo, CA 92692-1173.
- What is James O'Toole's phone number?
- The practice phone number listed in the NPPES registry for James O'Toole is (949) 588-9550.
- Does James O'Toole accept Medicare?
- James 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 James O'Toole's NPI active?
- Yes — James O'Toole's NPI (1245264746) is active in the NPPES registry as of the last update on 2023-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.