Individual provider Active NPI

Andrea Tooley

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Paducah, KY
National Provider Identifier
1750797213
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
61237 Issued in KY
Practice address
1130 Lone Oak Rd
Paducah, KY 42003-4525
Phone
(270) 415-0245
NPI assigned
Jul 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 61237 KY Primary
Ophthalmology Physician 207W00000X 61237 KY

Addresses

Primary practice location

1130 Lone Oak Rd
Paducah, KY 42003-4525

Mailing address

1130 Lone Oak Rd
Paducah, KY 42003-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150723008777 MN Practitioner - Ophthalmology 3476771346 Reassigns benefits to 1 organization
I20251117000559 KY Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3476771346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barbara Bowers MD PLLCGroup PAC ID 3274661483, 5 clinicians
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

1130 Lone Oak Rd
Paducah, KY 42003-4525
Phone 2704150245202

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61237KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara Bowers, MD, PLLC Ophthalmology CurrentSince Nov 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2015 Accepting new patients
Mayo Clinic Current Accepting new patients
Innovative Eye Surgery Center, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2015 Accepting new patients

Locations

1130 Lone Oak Rd
Paducah, KY 42003
Phone (270) 415-0245

1130 Lone Oak Rd
Ste B
Paducah, KY 42003
Phone (270) 415-0245

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Interoperability endpoints

  • Direct secure messaging: atooley65702@ehrdirect.mayoclinicmsg.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1750797213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034525",
            "telephone_number": "270-415-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOLEY",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-05",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "61237",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "61237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.