John Toole, MD
NPI 1609803121 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Charleston, SC
Enrolled with Medicare as Practitioner - Cardiac Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Toole, MD is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider in Charleston, SC (NPI 1609803121).
Provider details
- NPI number
- 1609803121
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 24359 (SC)
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
234 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) |
|---|---|---|
| Harvest of Vein Using an Endoscope33508 | 65 | $15 |
| Coronary Artery Bypass Using Artery Graft, 1 Graft33533 | 61 | $1,631 |
| Coronary Artery Bypass Using Vein Or Artery Graft, 3 Grafts33519 | 21 | $489 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 19 | $75 |
| Coronary Artery Bypass Using Vein Or Artery Graft, 2 Grafts33518 | 18 | $383 |
| Exclusion of Appendage of Left Upper Chamber of Heart Performed During Other Procedure on Chest33268 | 13 | $121 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Tartrate | 26 | — |
| Amiodarone Hcl | 15 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude 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 no Part D record, 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$103 across 4 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
- 2006-06-28
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Frequently asked questions
- What is John Toole's NPI number?
- John Toole's National Provider Identifier (NPI) is 1609803121, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Toole's specialty?
- John Toole is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is John Toole located?
- John Toole's practice location on file with NPPES is 316 Calhoun St, Charleston, SC 29401-1113.
- What is John Toole's phone number?
- The practice phone number listed in the NPPES registry for John Toole is (843) 720-8490.
- Does John Toole accept Medicare?
- John Toole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Toole's NPI active?
- Yes — John Toole's NPI (1609803121) is active in the NPPES registry as of the last update on 2021-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.