DAVID O'TOOLE, M.D.
Pain Medicine Physician · KERNERSVILLE, NC
Individual Active NPI 1659329811
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 324 | 3,798 | $991,175 | $181,307 | $137,423 |
| 2023 | 369 | 4,672 | $1,298,046 | $233,230 | $179,036 |
| 2022 | 302 | 4,669 | $987,913 | $193,483 | $151,759 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,386 | $1 | $1 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 830 | $0 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 659 | $0 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 81 | $223 | $161 |
| 64494 | Injection of lower or sacral spine facet joint using imaging guidance, second level | 78 | $115 | $91 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 74 | $265 | $194 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 61 | $489 | $374 |
| 64636 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint | 54 | $266 | $212 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 42 | $156 | $105 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 34 | $231 | $164 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 33 | $102 | $81 |
| 27096 | Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | 31 | $191 | $142 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | ✓ | 2005-01361 | NC |
| Anesthesiology Physician | 207L00000X | 2005-01361 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2005-01361 | NC | |
| Pain Medicine Physician | 208VP0000X | 0101238504 | VA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pain Medicine Physician providers in North Carolina
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- NPI 1417314014
- NPI 1598025983
- NPI 1487610713
- NPI 1457617623
See all Pain Medicine Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.