Kevin Tool, MD
NPI 1609840727 · Obstetrics & Gynecology Physician · Fort Collins, CO
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Tool, MD is a Obstetrics & Gynecology Physician provider in Fort Collins, CO (NPI 1609840727).
Provider details
- NPI number
- 1609840727
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 36155 (CO)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
520 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 256 | $92 |
| Pelvic Exam99459 | 129 | $24 |
| Simple Insertion of Temporary Bladder Tube51702 | 28 | $63 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 21 | $127 |
| Ultrasound Scan of Uterus, Ovaries, Tubes, Cervix and Pelvic Area Through Vagina76830 | 20 | $122 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 19 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Estradiol | 154 | 75 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 15 | 12 |
| Raloxifene Hcl | 13 | — |
| Cephalexin | 11 | — |
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.
$179 across 7 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
Additional practice locations (1)
- 1024 S Lemay AveFort Collins, CO 80524-3929Phone: (970) 495-8800Fax: (970) 495-8820
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Kevin Tool's NPI number?
- Kevin Tool's National Provider Identifier (NPI) is 1609840727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Tool's specialty?
- Kevin Tool is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Tool located?
- Kevin Tool's practice location on file with NPPES is 1107 S Lemay Ave, Fort Collins, CO 80524-3957.
- What is Kevin Tool's phone number?
- The practice phone number listed in the NPPES registry for Kevin Tool is (970) 493-7442.
- Does Kevin Tool accept Medicare?
- Kevin Tool is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Tool's NPI active?
- Yes — Kevin Tool's NPI (1609840727) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.