Shaun Toomey, M.D.
NPI 1255794293 · Pulmonary Disease Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shaun Toomey, M.D. is a Pulmonary Disease Physician provider in Worcester, MA (NPI 1255794293).
Provider details
- NPI number
- 1255794293
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 292495 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
491 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 139 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 96 | $96 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 50 | $49 |
| Critical Care, First 30-74 Minutes99291 | 35 | $208 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 31 | $180 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 65 | 33 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 65 | 19 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 61 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 53 | 29 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 35 | 14 |
| Ipratropium Bromide | 32 | 11 |
Practice location
Mailing address
Additional practice locations (1)
- 119 Belmont StWorcester, MA 01605-2903Phone: (508) 334-1975
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Frequently asked questions
- What is Shaun Toomey's NPI number?
- Shaun Toomey's National Provider Identifier (NPI) is 1255794293, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shaun Toomey's specialty?
- Shaun Toomey is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Shaun Toomey located?
- Shaun Toomey's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Shaun Toomey's phone number?
- The practice phone number listed in the NPPES registry for Shaun Toomey is (508) 334-1975.
- Does Shaun Toomey accept Medicare?
- Shaun Toomey is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shaun Toomey's NPI active?
- Yes — Shaun Toomey's NPI (1255794293) is active in the NPPES registry as of the last update on 2023-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.