Provider Profile
Payton R. O'Toole is a nurse practitioner practicing in Billings, MT. Payton is also listed as specializing in neurological surgery and nurse practitioner — family. According to Medicare claims data, Payton cared for 131 Medicare patients across 151 services. The services billed most often include established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more. This provider record is associated with NPI 1194395376.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
801 N 29TH ST
Billings, MT 59101
151 services · 131 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Insertion of cage or mesh device to spine bone and disc space during spine fusion | Procedure | 22853 |
21 | Less often than most peers in Nurse Practitioner |
| Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | Procedure | 63047 |
11 | Less often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
37 | As often as other peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
34 | Less often than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
23 | Less often than most peers in Nurse Practitioner |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
13 | Less often than most peers in Nurse Practitioner |
| New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | Office visit | 99205 |
12 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Payton R. O'Toole is a nurse practitioner in Billings, MT. That is the designation recorded for this NPI in the federal registry.
NPI registry
Payton R. O'Toole is listed at 801 N 29Th St, Billings, MT 59101. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (406) 238-2500. Contact the office directly to confirm availability and scheduling.
NPI registry
Payton R. O'Toole's National Provider Identifier is 1194395376. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Payton R. O'Toole attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
Payton R. O'Toole has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Payton R. O'Toole performs procedures including insertion of cage or mesh device to spine bone and disc space during spine fusion and partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Payton R. O'Toole. If this is you, claiming it is free.
Guide.md
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