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DR. ALBERT TOM M.D.
NPI 1124056023
Orthopaedic Surgery in Nashua, NH

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
90.85/100
CMS Quality Rating
168 KINSLEY ST, NASHUA, NH 03060(603) 578-9363(603) 578-9539 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Albert Tom M.d. NPPES

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

DR. ALBERT TOM M.D. (NPI 1124056023) is an individual orthopaedic surgery provider in Nashua, New Hampshire, licensed in New Hampshire (17285) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1124056023
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ALBERT TOMCredential: M.D.
Location Address168 KINSLEY STNashua, NH 03060-3634
Mailing AddressPo Box 808Nashua, NH 03061-0808 · (603) 578-5054
Phone(603) 578-9363
Fax(603) 578-9539
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 29, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1124056023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NH · 17285✔ Licensed in CT · 043304✔ Licensed in PA · MD429866
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
168 KINSLEY ST, Nashua, NH 03060
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Other Identifiers 17

OtherG920-0142/KDM4CUPA · Carefirst
OtherMD429866PA · License
Other120420411PA · Dept Of Labor
Other25-1716306PA · Greatwest Healthcare
Other1007307260034PA · Medicaid Group #
Other1883487PA · Highmark Blueshield
Other25-1716306PA · Devon
OtherP00841784PA · Railroad Medicare
Other25-1716306PA · Intergroup
Other3148288PA · United Health Care (mamsi)
Other50061812PA · Capital Bluecross
Other7413854PA · Aetna Non-hmo
Other867633PA · Medicare Group #
Medicaid101705441 0001PA
Other25-1716306PA · Multiplan/phcs
Other25-1716306PA · Healthnet/tricare
Other7413854PA · Aetna Hmo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dr. Albert Tom M.d. 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 ID8820093263
PECOS Enrollment IDI20151202000698
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 10

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.
262 services197 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.
90 services90 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
85 services70 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.
56 services40 patients
Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T
This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.
54 services51 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
44 services42 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300020
Location8 Prospect StreetNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03060 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

90.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.14
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers21 claims21 services$86.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. WILLIAM STEPHAN M.D.
Internal Medicine (Pulmonary Disease)
168 KINSLEY ST
NASHUA, NH 03060
Hillsborough County (603) 889-4131
DR. MICHAEL A H REMAR MD
Surgery
168 KINSLEY ST, LOWER LEVEL
NASHUA, NH 03060
Hillsborough County (603) 598-0455
DR. PRASANNA VENKATESWAR GULUR M.D.
Internal Medicine (Gastroenterology)
168 KINSLEY ST, LOWER LEVEL
NASHUA, NH 03060
Hillsborough County (603) 578-9363
MICHAEL A.H. REMAR, MD, PLLC
Surgery
168 KINSLEY ST, SUITE LL
NASHUA, NH 03060
Hillsborough County (603) 598-0455
SANJIV M PATEL M.D.
Anesthesiology
168 KINSLEY ST, SUITE 4
NASHUA, NH 03060
Hillsborough County (603) 882-1501
GRANITE STATE ANESTHESIOLOGISTS, PA
Specialist
168 KINSLEY ST, SUITE 4
NASHUA, NH 03060
Hillsborough County (603) 882-1501
SABINE H MANOLI MD, PLLC
Surgery
168 KINSLEY ST, SUITE LL
NASHUA, NH 03060
Hillsborough County (603) 598-0455
MAGGIE BLANK CRNA
Nurse Anesthetist, Certified Registered
168 KINSLEY ST, SUITE 4
NASHUA, NH 03060
Hillsborough County (603) 882-1501

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 Albert Tom's NPI number?

The NPI number for Albert Tom is 1124056023. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Albert Tom located?

Albert Tom practices at 168 Kinsley St, Nashua, NH 03060. The listed phone number is (603) 578-9363.

What is Albert Tom's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Albert Tom enrolled in Medicare?

Yes. Albert Tom 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 Albert Tom accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Albert Tom 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 Albert Tom affiliated with any hospitals?

According to CMS data, Albert Tom is affiliated with St Joseph Hospital and Southern Nh Medical Center.

When was this NPI record last updated?

The NPPES record for Albert Tom was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.