24 Years of Experience
Accepting patients
Who is Dr. O'toole, Plastic Surgeon in Pittsburgh, PA?
Dr. James O'toole, MD is a Plastic Surgeon, who primarily practices in Pittsburgh, PA. He has been practicing for over 24 years. Dr. O'toole graduated from Saint Louis University School of Medicine. Dr. O'toole is fluent in English, Arabic, and Spanish, and is currently seeing new patients. Dr. O'toole’s practice accepts Medicaid, Medicare, UnitedHealthcare, Aetna, Cigna and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. O'toole’s office at (412) 345-1615.
What are Areas of Expertise for Dr. O'toole?
Dr. James O'toole, MD is a highly-rated, board-certified Plastic Surgeon known for expertly diagnosing, treating, and managing a wide array of related conditions or procedures. Utilizing the latest medical advancements and evidence-based practices, Dr. O'toole empowers patients to confidently navigate their health journey, specializing in Breast Reconstruction, or comprehensive wellness support. Serving the Pittsburgh/PA community, Dr. O'toole is dedicated to enhancing lives through expert, patient-centered care.
Where did Dr. O'toole go to medical school and complete their residency?
Medical School: Saint Louis University School of Medicine
What languages does Dr. O'toole speak?
Dr. O'toole and their clinical team can communicate with patients in the following languages:
Arabic
English
Spanish
What conditions does Dr. O'toole treat?
As a Plastic Surgeon, Dr. O'toole diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. O'toole. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
- Personal History of Breast Cancer
- Breast Cancer
- Past breast cancer
- Previous mammary malignancy
- History of breast tumor
ICD-10 Codes:
- Z853: Personal history of malignant neoplasm of breast
Also known as:
- Skin Tumor of Uncertain Behavior
- Skin Condition
- Skin Neoplasm
- Skin Growth
- Uncertain Skin Lesion
ICD-10 Codes:
- D485: Neoplasm of uncertain behavior of skin
Also known as:
- Breast Enlargement
- Breast Disease
- Breast hypertrophy
- Macromastia
- Gigantomastia
ICD-10 Codes:
- N62: Hypertrophy of breast
Also known as:
- Sebaceous Cyst
- Skin Condition
- Epidermoid Cyst
- Keratin Cyst
- Skin Lump
ICD-10 Codes:
- L723: Sebaceous cyst
Also known as:
- Skin Scarring and Fibrosis
- Skin Condition
- Scar Tissue
- Fibrotic Skin
- Excessive Scarring
ICD-10 Codes:
- L905: Scar conditions and fibrosis of skin
Also known as:
- Melanoma of Scalp or Neck
- Melanoma
- Scalp Melanoma
- Neck Melanoma
- Skin Cancer of Scalp
- Skin Cancer of Neck
ICD-10 Codes:
- C434: Malignant melanoma of scalp and neck
Also known as:
- Scars
- Hypertrophic Scarring
- Keloid Scars
- Scar Tissue
ICD-10 Codes:
- L910: Hypertrophic scar
What procedures does Dr. O'toole perform?
As a Plastic Surgeon, Dr. O'toole performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. O'toole. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.
Also known as:
- Intermediate Wound Repair (Body)
- Facial Wound Repair
- Intermediate Face/Head Wound Repair (2.6-5.0 cm)
- Intermediate Wound Repair (2.5 cm or less)
- Intermediate Wound Repair (Neck, Hands, Feet, Genitalia)
- Intermediate Wound Repair (Scalp, Body, Limbs)
- Wounds and Injuries
- Laceration Repair (Body)
- Surgical Wound Closure (Trunk/Limbs)
- Deep Wound Stitching (Body)
- Stitches for facial cut
- Intermediate wound closure
- Repair of facial laceration
- Facial Laceration Repair
- Head Wound Stitching
- Complex Facial Cut Repair
- Complex Wound Closure
- Deep Wound Stitching
- Injury Repair
- Laceration Repair
- Surgical Wound Repair
- Injury Stitching
CPT Codes:
- 12032: Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm
- 12051: Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less
- 12052: Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
- 12031: Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less
- 12042: Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm
- 12034: Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm
Also known as:
- Autologous Fat Grafting (Body)
- Additional Fat Transfer (Body, Breasts, Scalp)
- Fat Transfer
- Liposuction with Fat Injection
- Body Fat Graft
- Autologous Fat Injection
- Liposuction Fat Grafting
- Body Fat Transfer
CPT Codes:
- 15771: Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate
- 15772: Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for primary procedure)
Also known as:
- Breast Reconstruction Revision
- Breast Implant Capsule Revision
- Breast Reduction Surgery
- Plastic and Cosmetic Surgery
- Corrective Breast Reconstruction Surgery
- Breast Implant Revision
- Flap Revision for Breast Reconstruction
- Capsulectomy (Breast Implant)
- Capsulotomy (Breast Implant)
- Breast Implant Scar Tissue Removal
- Reduction Mammoplasty
- Breast Size Reduction
- Mammoplasty
CPT Codes:
- 19380: Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)
- 19370: Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy
- 19318: Breast reduction
Also known as:
- Derma-Fat-Fascia Graft
- Skin fat fascia graft
- Composite tissue graft
- Autologous fat graft
- Soft tissue graft
CPT Codes:
- 15770: Graft; derma-fat-fascia
Also known as:
- Removal of Benign Skin Lesion
- Removal of Non-Cancerous Skin Growth (1.1-2.0 cm)
- Removal of Benign Skin Lesion (Trunk/Limbs)
- Removal of Benign Facial Lesion (0.6-1.0 cm)
- Benign Skin Growth Excision
- Skin Lesion Removal Surgery
- Excision of Non-Cancerous Skin Lesion
- Benign Skin Lesion Excision
- Skin Tumor Removal (Benign)
- Mole Removal (Non-Cancerous)
- Mole Removal (Large)
- Facial Skin Growth Excision
- Benign Lesion Removal (Face)
- Eyelid Lesion Excision
- Lip Lesion Removal
- Skin Lesion Biopsy and Removal
- Excision of Non-Cancerous Skin Growth
CPT Codes:
- 11401: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm
- 11402: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm
- 11404: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm
- 11441: Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm
- 11423: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm
Also known as:
- Skin Biopsy
- Skin Biopsy (Additional Lesion)
- Incisional Skin Biopsy
- Wedge Biopsy
- Skin Lesion Biopsy
- Wedge Biopsy of Skin
CPT Codes:
- 11106: Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion
- 11107: Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)
Also known as:
- Large Skin Cancer Removal from Face
- Skin Cancer Removal (Face, Ears, Eyelids, Nose, Lips)
- Malignant Skin Lesion Removal
- Malignant Lesion Excision
- Facial Skin Cancer Surgery
- Excision of Skin Tumor
- Face Cancer Removal
- Facial Skin Cancer Excision
- Malignant Lesion Removal (Head/Face)
- Skin Tumor Removal (Sensitive Areas)
- Skin Cancer Excision
- Malignant Mole Removal
- Tumor Removal from Skin
- Wide Excision of Skin Lesion
CPT Codes:
- 11646: Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm
- 11643: Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm
- 11604: Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm
Also known as:
- Muscle or Skin Flap Surgery (Trunk)
- Head and Neck Muscle Flap Surgery
- Myocutaneous Flap (Body)
- Fasciocutaneous Flap (Trunk)
- Tissue Flap Reconstruction (Torso)
- Myocutaneous Flap
- Fasciocutaneous Flap
- Head and Neck Reconstruction
- Vascular Pedicle Flap
CPT Codes:
- 15734: Muscle, myocutaneous, or fasciocutaneous flap; trunk
- 15733: Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)
Also known as:
- Chemical Cauterization of Granulation Tissue
- Proud flesh removal
- Chemical burn for wound overgrowth
- Granulation tissue treatment
- Wound cautery
CPT Codes:
- 17250: Chemical cauterization of granulation tissue (ie, proud flesh)
Also known as:
- Breast Implant Removal
- Ruptured Breast Implant Removal
- Plastic and Cosmetic Surgery
- Explant Surgery
- Breast Augmentation Removal
- Silicone Implant Removal
- Breast Implant Explantation
- Saline Implant Removal
CPT Codes:
- 19328: Removal of intact breast implant
- 19330: Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)
Also known as:
- Breast Implant Insertion After Mastectomy
- Breast Tissue Expander Placement
- Tissue Expander to Permanent Implant Exchange
- Plastic and Cosmetic Surgery
- Breast Reconstruction
- Delayed Breast Reconstruction
- Breast Implant Placement (Post-Mastectomy)
- Secondary Breast Augmentation
- Reconstructive Breast Surgery
- Breast Reconstruction with Expanders
- Tissue Expander Surgery (Breast)
- Breast Implant Preparation
- Breast implant exchange
- Breast reconstruction second stage
- Expander removal and implant placement
- Permanent breast implant surgery
CPT Codes:
- 19342: Insertion or replacement of breast implant on separate day from mastectomy
- 19357: Tissue expander placement in breast reconstruction, including subsequent expansion(s)
- 11970: Replacement of tissue expander with permanent implant
Also known as:
- Removal of Benign Skin Lesion
- Large Benign Skin Lesion Removal
- Benign Skin Growth Excision
- Skin Lesion Removal Surgery
- Mole Removal
- Skin Tumor Excision
- Skin Tumor Removal (Benign)
- Large Skin Lesion Biopsy
CPT Codes:
- 11403: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm
- 11406: Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm
Also known as:
- Midface Flap Reconstruction
- Zygomaticofacial Flap
- Cheek Flap Surgery
- Midface Tissue Transfer
CPT Codes:
- 15730: Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)
Also known as:
- Large Malignant Skin Lesion Removal
- Skin Cancer Excision
- Large Malignant Growth Removal
- Wide Excision of Skin Cancer
- Trunk/Limb Skin Cancer Surgery
CPT Codes:
- 11606: Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm
Also known as:
- Large Skin Cancer Removal
- Malignant Lesion Excision
- Skin Tumor Removal
- Wide Excision of Skin Cancer
CPT Codes:
- 11626: Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm
Also known as:
- Full Thickness Skin Graft (Small Area)
- Full Thickness Skin Graft (Additional Area)
- Free skin graft
- Skin transplant
- Dermal graft
- Free Skin Graft
- Skin Transplant (Full Thickness)
- Dermal Graft
- Additional Skin Grafting
CPT Codes:
- 15220: Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less
- 15221: Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
Also known as:
- Benign Facial Lesion Removal (1.1-2.0 cm)
- Facial mole removal
- Eyelid lesion excision
- Lip lesion removal
- Benign growth removal from face
CPT Codes:
- 11442: Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm
Also known as:
- Breast Implant Capsule Removal
- Complete Breast Capsulectomy
- Removal of Breast Implant Scar Tissue
- Breast Implant Revision (Capsulectomy)
CPT Codes:
- 19371: Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents
Also known as:
- Benign Lesion Removal (Face/Head)
- Facial Lesion Excision
- Skin Growth Removal
- Benign Tumor Excision
- Head/Neck Lesion Surgery
CPT Codes:
- 11443: Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm
Also known as:
- Injection for Skin Lesions (Up to 7)
- Intralesional Injection
- Lesion Injection Therapy
- Steroid Injection for Skin Bumps
CPT Codes:
- 11900: Injection, intralesional; up to and including 7 lesions
Also known as:
- Sentinel Lymph Node Mapping
- Lymph Node Identification
- Sentinel Node Biopsy (Mapping)
- Dye Injection for Lymph Nodes
CPT Codes:
- 38900: Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)
Also known as:
- Deep Neck Lymph Node Biopsy
- Groin Lymph Node Biopsy
- Biopsy
- Cervical Lymph Node Excision
- Open Neck Lymph Node Biopsy
- Deep Cervical Node Removal
- Inguinofemoral Lymph Node Excision
- Open Lymph Node Biopsy
- Femoral Lymph Node Removal
- Groin Lymph Node Removal
CPT Codes:
- 38510: Biopsy or excision of lymph node(s); open, deep cervical node(s)
- 38531: Biopsy or excision of lymph node(s); open, inguinofemoral node(s)
Also known as:
- Deep Armpit Lymph Node Biopsy
- Biopsy
- Axillary Lymph Node Excision
- Open Axillary Node Biopsy
- Underarm Lymph Node Removal
CPT Codes:
- 38525: Biopsy or excision of lymph node(s); open, deep axillary node(s)
Also known as:
- Face or Scalp Tumor Removal
- Soft tissue tumor excision
- Subcutaneous tumor removal
- Facial lump removal
CPT Codes:
- 21012: Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater
Also known as:
- Large Soft Tissue Tumor Removal (Back/Flank)
- Soft Tissue Tumor Excision
- Back Tumor Removal
- Flank Tumor Surgery
- Intramuscular Tumor Excision
CPT Codes:
- 21933: Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater
Does Dr. O'toole accept my insurance?
Dr. O'toole accepts most major insurance plans. Important: Please call our office at (412) 345-1615 before your appointment to verify that your specific plan and network are accepted.
What insurance plans does Dr. O'toole accept in Pittsburgh, PA?
Dr. O'toole in Pittsburgh, PA accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.
Top Insurances
All Other Third Party
Crown Cork and Seal Company
CVS Health (formerly Aetna)
Express Scripts
Highmark Inc.
Humana
Medicare
State of Tennessee
UnitedHealthcare
UPMC Health Plan
View All Insurances
Where is Dr. O'toole's office located?
Dr. James O'toole's Primary Practice
5830 Ellsworth Ave Ste 300
Pittsburgh, PA 15232
(412) 345-1615
What is Dr. O'toole's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.
Dr. O'toole's National Provider Identifier (NPI) number is 1790936631.
What common questions do patients ask about Dr. O'toole?
Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. O'toole
What is Dr. James O'toole's specialty?
Dr. O'toole is a Plastic Surgeon near Pittsburgh, PA. A plastic surgeon specializes in repairing, reconstructing, or replacing physical defects involving the skin, musculoskeletal system, craniomaxillofacial structures, hands, extremities, breasts, trunk, and external genitalia. Cosmetic surgery is a key aspect of this specialty, where surgeons apply aesthetic principles to enhance appearance and optimize reconstructive outcomes, addressing both normal structures and those requiring reconstruction. Contact Dr. O'toole to book an appointment today.
Is this Dr. James O'toole affiliated with a ranked Castle Connolly Top Hospital?
No, O'toole is not affiliated with a Castle Connolly Top Hospital, but is affiliated with the following hospitals: UPMC Shadyside, AHN Allegheny General Hospital. Castle Connolly Top Hospitals are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals
Where can I learn more about Plastic Surgeon?
Explore Plastic Surgeon with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.
Is James O'toole accepting new patients in Pittsburgh, PA?
Yes, Dr. James O'toole is accepting new patients at this time.
Does Dr. James O'toole offer online booking?
Please contact Dr. O'toole's office at (412) 345-1615 for information about online booking, telehealth, or to schedule an appointment.
How can I make an appointment with James O'toole?
Please contact Dr. O'toole's office at (412) 345-1615 for information regarding telehealth appointment availability or for scheduling assistance.
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