DR. HEIDI DANIELLE TOMLINSON M.D.
NPI 1003011297
Pediatrics in Fort Worth, TX

NPI Status: Active since June 18, 2007

Contact Information

1301 PENNSYLVANIA AVE
DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-2892

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  • Individual
  • Female
  • Pediatrics
  • PECOS Enrolled

About HEIDI TOMLINSON

Heidi Tomlinson is a pediatrician established in Fort Worth, Texas and her medical specialization is Pediatrics. The healthcare provider is registered in the NPI registry with number 1003011297 assigned on June 2007. The practitioner's primary taxonomy code is 208000000X with license number N4391 (TX). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1003011297
Provider Name
DR. HEIDI DANIELLE TOMLINSON M.D.
Gender
Female
Entity Type
Individual
Location Address
1301 PENNSYLVANIA AVE DEPARTMENT OF NEONATOLOGY FORT WORTH, TX 76104
Location Phone
(817) 250-2892
Mailing Address
1301 PENNSYLVANIA AVE DEPARTMENT OF NEONATOLOGY FORT WORTH, TX 76104
Mailing Phone
(817) 250-2892
Is Sole Proprietor?
No
Enumeration Date
06-18-2007
Last Update Date
04-20-2015
Code Navigator

A pediatrician like Heidi Tomlinson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
N4391
License State
TX
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208M00000XAllopathic & Osteopathic Physicians

Hospitalist

N4391 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arizona Complete Health

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
  • Ambetter from Louisiana Healthcare Connections

    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter from Superior HealthPlan

    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
  • Ambetter of Oklahoma

    • Clear Gold - PPO
    • Clear Gold + Vision + Adult Dental - PPO
    • Clear Silver - PPO
    • Clear Silver + Vision + Adult Dental - PPO
    • Complete Silver - PPO
  • Baylor Scott and White Health Plan

    • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
    • BSW Elite Gold HMO 012 ($0 PCP unlimited visits) - HMO
    • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
    • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • Blue Cross and Blue Shield of Texas

    • Blue Advantage Bronze HMO℠ 204 - HMO
    • Blue Advantage Bronze HMO℠ 301 - HMO
    • Blue Advantage Bronze HMO℠ 302 - HMO
    • Blue Advantage Bronze HMO℠ 707 - HMO
    • Blue Advantage Gold HMO℠ 206 - HMO
  • Oscar Health Plan, Inc.

    • Bronze Classic (Choice) - HMO
    • Bronze Classic 4700 (Choice) - HMO
    • Bronze Classic 4700 (Select) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Choice) - HMO
    • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic | MercyOne - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic 4700 | MercyOne - EPO
    • Bronze Classic PCP Saver Plus - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
211980201MEDICAID (05)TX 

PECOS Enrollment and Medicare Participation Status

Heidi Tomlinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 76104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.57
  • Minimum New Patient Price $58.28
  • Maximum New Patient Price $176.69
  • Average New Patient Copayment $22.39
  • Minimum New Patient Copayment $14.57
  • Maximum New Patient Copayment $44.17

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.77
  • Minimum Established Patient Price $18.31
  • Maximum Established Patient Price $144.78
  • Average Established Patient Copayment $25.94
  • Minimum Established Patient Copayment $4.57
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. HEIDI DANIELLE TOMLINSON M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003011297
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003012218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 2 + 2 + 1 + 8 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003011297 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912904061DR. MARY FRANCES ABRAHAM LYNCH M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE NEONATOLOGY OFFICES, PEDIATRIX MEDICAL GROUP OF TEXAS
FORT WORTH, TX 76104
(817) 250-2892
1417933300MRS. KATHERINE ANNE MARX CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1457338659DR. JOSEPH G. CAERO M.D.
Individual
Anesthesiology1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1639156821MS. HEATHER SLOANE TOLBERT CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1609853894MS. CONSTANCE ANN HAHN CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1053398248MS. KARLA JO KINTZ CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1780661983MS. SHARON L NEBEN CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1952388159MS. SANDRA SHELTON SOLOMON CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1588641781MR. DAVID LILE STULL CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1669459897MR. GREGORY SCOTT PATE CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1487631610MR. DAVID JULIAN GOMEZ CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1013994110MS. PATRICIA L. GILLUM CRNA
Individual
Nurse Anesthetist, Certified Registered1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-3680
1710949532MRS. KAREN L SADLER RN, NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1301 PENNSYLVANIA AVE C/O NEONATOLOGY
FORT WORTH, TX 76104
(817) 882-2892
1033171764 RICHARD TURNER
Individual
Pediatrics1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 250-2890
1417912940MRS. MICHELLE HAFLEY LANSFORD NNP
Individual
Nurse Practitioner (Neonatal, Critical Care)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-2892
1932164316DR. RANDALL LEE GRUBBS M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE OFFICE OF NEONATOLOGY
FORT WORTH, TX 76104
(817) 882-2892
1639134018MISS KATHERINE NOELLE WAGNER RNC, MSN, NNP
Individual
Nurse Practitioner (Neonatal)1301 PENNSYLVANIA AVE NEONATOLOGY OFFICE
FORT WORTH, TX 76104
(817) 250-2892
1770548083MRS. MICHELLE MITCHELL SMITH RNC NNP
Individual
Nurse Practitioner (Neonatal)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-2892
1730144924DR. MICHAEL JOHN STEVENER M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 882-2892
1487619433MRS. SUSAN ELIZABETH WILKERSON RNC NNP MSN
Individual
Nurse Practitioner (Neonatal)1301 PENNSYLVANIA AVE NEONATAL OFFICE
FORT WORTH, TX 76104
(817) 250-2892

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003011297, enumerated in the NPI registry as an "individual" on June 18, 2007

The provider is located at 1301 Pennsylvania Ave Department Of Neonatology Fort Worth, Tx 76104 and the phone number is (817) 250-2892

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $89.57 with an average copayment of $22.39 for new patient appointments. Established patients should expect a typical charge of $103.77 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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