Doctor profile · Federal record
Dr. Richard Tooley, M.D.
Surgery Physician (CMS: Colorectal Surgery (Proctology)) · Traverse City, MI
- NPI 1295727824
- Accepts Medicare
- MIPS 91.9 / 100 · 2023
- 34 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1221 6Th St, Suite 306
Traverse City, MI 496842359
(231) 935-2400
fax (231) 935-2424
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- December 30, 2020
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Michigan #RT052793
- Medicaid
- MI #3169827
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295727824. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
207
Distinct HCPCS
8
Medicare allowed
$21,662
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 42 | 25 | $49 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 34 | 34 | $162 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 34 | 28 | $124 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 30 | 26 | $87 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $109 | |
G0500 |
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 21 | 20 | $5 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 12 | 12 | $237 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 11 | 11 | $164 |
In context: peer comparison
Among 12 peers in Traverse City Surgery Physician, average services per provider: 38. This provider delivers 5.4× the peer median.Open Payments
Industry payments received
All-time total
$29
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 1 | $29.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
121
Patients
116
Total drug cost
$1,138
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,Bicarb,Cl/Kcl) | Brand | 33 | 30 | $715 |
| Ciprofloxacin Hcl | Generic | 25 | 24 | $26 |
| Metronidazole | Generic | 25 | 25 | $28 |
| Oxycodone Hcl | Generic | 24 | 23 | $39 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 14 | 14 | $330 |
Hospital affiliations
Frequently asked questions
What is Dr. Richard Tooley's medical specialty?
Dr. Richard Tooley practices Surgery Physician in Traverse City, MI.
Where does Dr. Richard Tooley practice?
Dr. Richard Tooley practices at 1221 6Th St, Traverse City, MI 496842359. Office phone: 2319352400.
What is Dr. Richard Tooley's NPI?
Dr. Richard Tooley's National Provider Identifier (NPI) is 1295727824, issued by NPPES.
Does Dr. Richard Tooley accept Medicare assignment?
Yes. Dr. Richard Tooley accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Richard Tooley commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.