Medicare Enrolled

Dr. John O'Toole, M.D.

Neurological Surgery · Chicago, IL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
1725 W HARRISON ST, Chicago, IL 60612
3129426644
Registered in NPPES since 2006
NPI: 1619926672 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. O'Toole from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. O'Toole? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. O'Toole

Dr. John O'Toole is a neurological surgery specialist in Chicago, IL, with 20 years of NPI registration. Based on federal Medicare data, Dr. O'Toole performed 422 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. O'Toole received a total of $530,924 from 9 pharmaceutical and/or device companies across 146 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. O'Toole is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years of NPI registration ▲ Top 29% volume in IL $530,924 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
422
Medicare services
Top 29% in IL for neurological surgery
Not available
Unique patients (not deduplicated)
$284
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
117 $117 $367
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
47 $125 $320
Spinal fusion of additional segment
A surgical procedure to join an additional section of the spine to the existing fusion. This is performed as a separate or subsequent step to stabilize more of the spinal column.
46 $373 $1,479
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
43 $89 $221
Spine fusion with cage or mesh device insertion
A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space.
38 $245 $978
Computer-assisted spinal procedure
A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution.
28 $224 $906
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
28 $72 $252
Partial removal of spine bone with nerve release, 1 segment
A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment.
21 $967 $4,066
Spinal stabilization device placement, 3-6 segments
Surgical placement of a device to stabilize three to six vertebrae in the back.
18 $727 $2,866
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
13 $56 $141
Placement of stabilizing device to back of 1 spine bone in neck
A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck.
12 $719 $2,860
Lower back spinal fusion with bone and disc removal
A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area.
11 $1,726 $6,847
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
22.5% high complexity
0.0% medium
77.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$530,924
Total received (2018-2024)
Avg $75,846/year across 7 years
Top 3% in IL for neurological surgery
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
9
Companies
146
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$91,996
2023
$117,317
2022
$81,407
2021
$82,232
2020
$41,973
2019
$55,933
2018
$60,065

Payments by company (2024)

Globus Medical, Inc.
$90,017
Synthes GmbH
$1,870
Cerapedics Inc.
$109
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Globus Medical, Inc.
$427,969
RTI Surgical, Inc.
$79,771
Cerapedics Inc.
$9,946
Amendia, Inc.
$5,406
Viseon, Inc.
$5,250
Synthes GmbH
$1,870
Surgalign Spine Technologies, Inc.
$521
Medtronic USA, Inc.
$181
Orthofix Medical, Inc.
$10
Top 3 companies account for 97.5% of all-time payments
Associated products mentioned in payments ›
3D Printed Integrated ALIF Spa · ALTERA · CALIBER · CAPITOL · CAPITOL / RETRACTOR · CORBEL · Captivate VL · EXCELSIUS GPS · Excelsius - GPS · Excelsius Robotics System · Excelsius3D Imaging System · ExcelsiusGPS Robotic Navigation System · GLB Navigation System · Globus XR Navigation System · HEDRON · HEDRON-IA · HEDRON-PT-3D Printed PLIF/TLIF · Hedron IA · I-FACTOR PEPTIDE ENHANCED BONE GRAFT · INDEPENDENCE MIS · MaxView System · Navigation System AR · O-ARM-ST · Pelvic Screws · STREAMLINE MIS SPINAL FIXATION SYSTEM · Spinal-Stim Osteogenesis Stimulator · ZYFUSE
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a neurological surgery specialist in Chicago?
Compare neurological surgerists in the Chicago area by procedure volume, costs, and industry payment transparency.
Browse neurological surgerists nearby

Geographic Context

Neurological surgerists in nearby ZIP areas
226
County median income
$81,797
Nearest hospital to ZIP centroid (approximate)
JESSE BROWN VA MEDICAL CENTER - VA CHICAGO HEALTHCARE SYSTEM
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. O'Toole is a clinical cardiology specialist, with above-average Medicare volume (top 29% in IL), with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. O'Toole experienced with new patient office visit (45-59 min)?
Based on Medicare claims data, Dr. O'Toole performed 117 new patient office visit (45-59 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. O'Toole receive payments from pharmaceutical companies?
Yes. Dr. O'Toole received a total of $530,924 from 9 companies across 146 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. O'Toole's costs compare to other neurological surgerists in Chicago?
Dr. O'Toole's average Medicare payment per service is $284. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. O'Toole) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →