Dr. David O'toole, MD
1730 Kernersville Medical Pkwy Ste 204, Kernersville, NC 27284 • +1-539-555-3411
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Kernersville Percentiles
NPI #1659329811 • CBSA Regional • Pain Management
CMS Medicare Part B utilization records credit Dr. David O'toole (MD, NPI 1659329811) at 1730 Kernersville Medical Pkwy Ste 204 in Kernersville with 3,798 annual clinical services (324 beneficiaries), corresponding to a -0.36σ regional deviation and top-decile high-throughput specialist (99th percentile in Kernersville) with sub-specialty concentration in 50 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. O'toole (averaging 11.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 11% of tracked volume (414 encounters), paired with 99213 (239x).
Self-pay new patient consultations with Dr. O'toole (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.93/5 modern protocol openness score across 15 patient logs.
From 1730 Kernersville Medical Pkwy Ste 204 in Kernersville (+1-539-555-3411), Dr. O'toole, MD (31-year clinical track record) delivers 50 Active CMS HCPCS Codes care.
Top 10% Pain Management volume leader in Kernersville, NC
3,798 annual services across 324 beneficiaries
Standard deviations from NC Pain Management mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 414 | 99th | $74 – $102 |
| 99213 | Established Preventive & Chronic Care Visit | 239 | 96th | $57 – $78 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 120 | 99.5th | $27 – $42 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 92 | 96th | $87 – $119 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 55 | 99.5th | $103 – $141 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 2,877 | 99th | $67 – $97 |
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Dr. David O'toole, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. O'toole National Provider Identifier | NPI #1659329811 (MD) | CMS NPPES Registry (27284) |
| Dr. O'toole Kernersville CMS Volume Rank | 99.00th Pct (3,798 CMS svcs; Z -0.357σ) | CMS Medicare Part B (NC Pain Management) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kernersville, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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