BENJAMIN K N TOMLINSON
NPI 1083841092
Internal Medicine - Hematology & Oncology in Cleveland, OH

Active since June 17, 2009PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-3951 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 12, 2021, Dec 11, 2015 (2 updates tracked since 2015).

About Benjamin K N Tomlinson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN K N TOMLINSON (NPI 1083841092) is an individual hematology & oncology provider in Cleveland, Ohio, licensed in Ohio (35-127249) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2009).

NPPES Registry Identity

NPI1083841092
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameBENJAMIN K N TOMLINSON
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address20800 Harvard Rd, 2nd FlrHighland Hills, OH 44122-7251
Sole ProprietorYes
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2009
Enumeration DateJune 17, 2009
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
NPI 1083841092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OH · 35-127249
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

11100 EUCLID AVE, Cleveland, OH 44106

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Benjamin K N Tomlinson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42459125
PECOS Enrollment IDI20150922002817
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
107 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106
Radiology (Radiation Oncology)
11100 EUCLID AVE
CLEVELAND, OH 44106
Pediatrics (Pediatric Hematology-Oncology)
11100 EUCLID AVE, BOLWELL 6TH FLOOR
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiologist Assistant
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology (Critical Care Medicine)
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Anesthetist, Certified Registered
11100 EUCLID AVE
CLEVELAND, OH 44106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083841092, enumerated as an "individual" on June 17, 2009.

The provider is located at 11100 EUCLID AVE CLEVELAND, OH 44106 and the phone number is (216) 844-3951.

Internal Medicine with taxonomy code 207RH0003X and a focus in Hematology & Oncology.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Benjamin Tomlinson is affiliated with: UH REGIONAL HOSPITALS, UH ST JOHN MEDICAL CENTER and UH CLEVELAND MEDICAL CENTER.