TOMAS SANTIAGO ALEMAN MD
NPI 1104110303
Ophthalmology - Retina Specialist in Philadelphia, PA

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3801 FILBERT ST, PHILADELPHIA, PA 19104(215) 662-8100 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tomas Santiago Aleman Md NPPES

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

TOMAS SANTIAGO ALEMAN MD (NPI 1104110303) is an individual retina specialist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD449388) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1104110303
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameTOMAS SANTIAGO ALEMANCredential: MD
Location Address3801 FILBERT STPhiladelphia, PA 19104-2640
Mailing Address3801 Filbert StPhiladelphia, PA 19104-2640 · (215) 662-8100
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 6, 2011
Last NPPES UpdateApril 11, 2018
NPI 1104110303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in PA · MD449388
Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License MD449388 (PA)
3801 FILBERT ST, Philadelphia, PA 19104

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

Tomas Santiago Aleman Md 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 ID7113141060
PECOS Enrollment IDI20140616000378
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 7

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

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
120 services102 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.
101 services87 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.
64 services55 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
42 services36 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
22 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology (Glaucoma Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Cornea and External Diseases Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Neuro-ophthalmology)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Surgery
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
3801 FILBERT ST
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tomas Aleman's NPI number?

The NPI number for Tomas Aleman is 1104110303. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Tomas Aleman located?

Tomas Aleman practices at 3801 Filbert St, Philadelphia, PA 19104. The listed phone number is (215) 662-8100.

What is Tomas Aleman's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Tomas Aleman enrolled in Medicare?

Yes. Tomas Aleman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tomas Aleman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tomas Aleman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tomas Aleman affiliated with any hospitals?

According to CMS data, Tomas Aleman is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Tomas Aleman was last updated on April 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.