William O'Toole, M.D.
NPI 1467474874 · Gastroenterology Physician · Sellersville, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
William O'Toole, M.D. is a Gastroenterology Physician provider in Sellersville, PA (NPI 1467474874).
Provider details
- NPI number
- 1467474874
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD033835E (PA)
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
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
476 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $136 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 85 | $83 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 67 | $97 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 42 | $111 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 35 | $189 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
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 |
|---|---|---|
| Pantoprazole Sodium | 149 | 41 |
| Famotidine | 137 | 50 |
| Omeprazole | 64 | 18 |
| Sod Picosulf/Mag Ox/Citric Acbrand: Clenpiq | 25 | 25 |
| Linaclotidebrand: Linzess | 23 | — |
| Sucralfate | 22 | — |
| Dicyclomine Hcl | 19 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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
- 2006-07-24
- Last updated
- 2010-07-13
Frequently asked questions
- What is William O'Toole's NPI number?
- William O'Toole's National Provider Identifier (NPI) is 1467474874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is William O'Toole's specialty?
- William O'Toole is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is William O'Toole located?
- William O'Toole's practice location on file with NPPES is 1107 Bethlehem Pike, Sellersville, PA 18960-1454.
- What is William O'Toole's phone number?
- The practice phone number listed in the NPPES registry for William O'Toole is (215) 257-3011.
- Does William O'Toole accept Medicare?
- William 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 William O'Toole's NPI active?
- Yes — William O'Toole's NPI (1467474874) is active in the NPPES registry as of the last update on 2010-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.