Jeffrey O'Tool, M.D.
NPI 1295796654 · Emergency Medicine Physician · Sioux City, IA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey O'Tool, M.D. is a Emergency Medicine Physician provider in Sioux City, IA (NPI 1295796654).
Provider details
- NPI number
- 1295796654
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35216 (IA)
Specialties & taxonomies
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
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
557 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 325 | $160 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 195 | $110 |
| Critical Care, First 30-74 Minutes99291 | 23 | $195 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 14 | $65 |
Typical Medicare-allowed amounts for these services range $65–$195 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 51 | 50 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 45 | 43 |
| Ondansetronbrand: Ondansetron Odt | 32 | 32 |
| Doxycycline Hyclate | 27 | 27 |
| Cephalexin | 15 | 15 |
| Cyclobenzaprine Hcl | 15 | 15 |
| Lorazepam | 11 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-28
- Last updated
- 2012-08-21
Frequently asked questions
- What is Jeffrey O'Tool's NPI number?
- Jeffrey O'Tool's National Provider Identifier (NPI) is 1295796654, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey O'Tool's specialty?
- Jeffrey O'Tool is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jeffrey O'Tool located?
- Jeffrey O'Tool's practice location on file with NPPES is 2720 Stone Park Blvd, Sioux City, IA 51104-3734.
- What is Jeffrey O'Tool's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey O'Tool is (712) 279-3789.
- Does Jeffrey O'Tool accept Medicare?
- Jeffrey O'Tool is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey O'Tool's NPI active?
- Yes — Jeffrey O'Tool's NPI (1295796654) is active in the NPPES registry as of the last update on 2012-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.