DR. DIANA SOPHIA TSOMBARIS D.P.M.
NPI 1104955012
Podiatrist - Foot & Ankle Surgery in Clarksboro, NJ

Q: What is Diana Tsombaris's NPI number?

The NPI number for Diana Tsombaris is 1104955012. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. Diana Tsombaris Clarke D.P.M..

Q: What is Diana Tsombaris's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Diana Tsombaris was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment

79.16/100

CMS Quality Rating

119 BERKLEY RD STE A, CLARKSBORO, NJ 08020(856) 599-0133(833) 234-1751 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2020, Feb 24, 2020 (2 updates tracked since 2020).

On this page

About Dr. Diana Sophia Tsombaris D.p.m. NPPES

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

DR. DIANA SOPHIA TSOMBARIS D.P.M. (NPI 1104955012) is an individual foot & ankle surgery provider in Clarksboro, New Jersey, licensed in New Jersey (25MD00299300) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in West Deptford.

NPPES Registry Identity

NPI1104955012

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. DIANA SOPHIA TSOMBARISCredential: D.P.M.

Location Address119 BERKLEY RD STE AClarksboro, NJ 08020-1161

Mailing Address119 Berkley Rd Ste AClarksboro, NJ 08020-1161 · (856) 599-0133 · Fax (833) 234-1751

Phone(856) 599-0133

Fax(833) 234-1751

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 2006

Enumeration DateMarch 5, 2007

Last NPPES UpdateMarch 31, 20202 updates tracked since enumeration

NPPES CertifiedMarch 31, 2020

✔ NPI 1104955012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in NJ · 25MD00299300

119 BERKLEY RD STE A, Clarksboro, NJ 08020

Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Diana Tsombaris Clarke D.p.m.

Secondary Practice Location 1

Location 1297 Westwood Dr, Suite 106West Deptford, NJ 08096-3144 · Phone (856) 848-6262 · Fax (856) 848-6649

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Diana Sophia Tsombaris D.p.m. 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 ID3971654922

PECOS Enrollment IDI20101227000132

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.

Medicare Billing Reassignments

Medicare enrollment records show Diana Tsombaris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Foot & Ankle Care Center LLC

Same address

Podiatrist

119 BERKLEY RD STE A
Clarksboro, NJ 08020

Reassigned Medicare billing, New Jersey enrollment
2 clinicians in this Medicare group

NPI 1598314601 (856) 599-0133

Paul S. Demarco, DPM, LLC

48 mi

Foot & Ankle Surgery

401 SHORE RD
Somers Point, NJ 08244

Reassigned Medicare billing, New Jersey enrollment
3 clinicians in this Medicare group

NPI 1336200799 (609) 927-4894

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

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.

841 services270 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

194 services56 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

130 services35 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

114 services35 patients

Trimming of fingernails or toenails 11719

Trimming of fingernails or toenails is a simple procedure for maintaining hygiene and preventing nail-related issues. It involves cutting the nails straight across, then smoothing any sharp edges with a file. Regular nail care can help prevent infections and discomfort.

104 services32 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.

95 services64 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

54 services54 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

48 services21 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

42 services11 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.

37 services37 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services18 patients

Placement of strapping to ankle or foot 29540

Strapping to the ankle or foot is a procedure involving the application of tape or a similar material to provide support and stability. It can help manage injuries, reduce pain, and prevent further harm. The process is non-invasive and typically performed by a trained professional.

30 services27 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

17 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310086

Location18 East Laurel RoadStratford, NJ 08084 · Camden 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

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.

79.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

58.33

Improvement Activities

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

0%204 patients

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%238 patients1/55-star benchmark: 91%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%4,015 patients1/55-star benchmark: 61%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 666 patients

Patients totalRate: 0% · 666 patients

0%666 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

FAMILY FOOT & ANKLE CARE CENTER LLC

Podiatrist

119 BERKLEY RD STE A
CLARKSBORO, NJ 08020

Gloucester County (856) 599-0133

DR. MICHAEL BAKER BROWN DPM

Podiatrist

119 BERKLEY RD STE A
CLARKSBORO, NJ 08020

Gloucester County (856) 599-0133

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 Diana Tsombaris's NPI number?

The NPI number for Diana Tsombaris is 1104955012. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. Diana Tsombaris Clarke D.P.M..

Where is Diana Tsombaris located?

Diana Tsombaris practices at 119 Berkley Rd Ste A, Clarksboro, NJ 08020. The listed phone number is (856) 599-0133.

What is Diana Tsombaris's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Diana Tsombaris enrolled in Medicare?

Yes. Diana Tsombaris 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.

Which organizations bill Medicare for Diana Tsombaris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Tsombaris reassigns Medicare benefits to 2 organizations: Family Foot & Ankle Care Center LLC (Clarksboro, NJ) and Paul S. Demarco, DPM, LLC (Somers Point, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diana Tsombaris's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Tsombaris accept?

Health plans from Oscar Health list Diana Tsombaris 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 Diana Tsombaris affiliated with any hospitals?

According to CMS data, Diana Tsombaris is affiliated with Jefferson Stratford Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Diana Tsombaris was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.