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CLAIRE WALTERS TOMLINSON PA-C
NPI 1134549470
Physician Assistant - Surgical in Mt Juliet, TN

Active since April 25, 2014PECOS EnrolledAccepts Medicare Assignment
84.22/100
CMS Quality Rating
660 S MOUNT JULIET RD STE 230, MT JULIET, TN 37122(615) 874-9667(615) 871-9682 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claire Walters Tomlinson Pa-c NPPES

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

CLAIRE WALTERS TOMLINSON PA-C (NPI 1134549470) is an individual surgical provider in Mt Juliet, Tennessee, licensed in Tennessee (2506) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Tristar Summit Medical Center, and is a graduate of University Of Alabama School Of Medicine (2013).

NPPES Registry Identity

NPI1134549470
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCLAIRE WALTERS TOMLINSONCredential: PA-C
Location Address660 S MOUNT JULIET RD STE 230Mt Juliet, TN 37122-3923
Mailing Address410 42nd Ave N Ste 400Nashville, TN 37209-3658 · (152) 925-7226 · Fax (615) 345-6225
Phone(615) 874-9667
Fax(615) 871-9682
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2013
Enumeration DateApril 25, 2014
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1134549470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 2506
660 S MOUNT JULIET RD STE 230, Mt Juliet, TN 37122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Claire Walters Tomlinson Pa-c 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 ID3779707385
PECOS Enrollment IDI20140620000711
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 3

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.
142 services118 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.
63 services26 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
35 services13 patients

Hospital Affiliations CMS Care Compare

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

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.

84.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.49
Promoting Interoperability100
Improvement Activities40
Cost67.12

Other Providers at the Same Location NPPES 9

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

MRS. JONI ELAINE LEE PA
Physician Assistant
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
CHRISTOPHER BRAXTON M.D.
Surgery
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
DR. TOD RAYMOND BUSHMAN DPM
Podiatrist (Foot & Ankle Surgery)
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
DR. JEFFERSON TYLER WATSON M.D.
Surgery
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
JEFFREY HARRIS LEVINE MD
Surgery
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
DR. ALEX B FRUIN M.D.
Surgery
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
JOHN A. BOSKIND M.D.
Surgery
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667
TENNESSEE ONCOLOGY PLLC
Durable Medical Equipment & Medical Supplies
660 S MOUNT JULIET RD STE 230
MT JULIET, TN 37122
Wilson County (615) 874-9667

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 Claire Tomlinson's NPI number?

The NPI number for Claire Tomlinson is 1134549470. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Claire Tomlinson located?

Claire Tomlinson practices at 660 S Mount Juliet Rd Ste 230, Mt Juliet, TN 37122. The listed phone number is (615) 874-9667.

What is Claire Tomlinson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Claire Tomlinson enrolled in Medicare?

Yes. Claire Tomlinson 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 Claire Tomlinson accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Claire Tomlinson 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 Claire Tomlinson affiliated with any hospitals?

According to CMS data, Claire Tomlinson is affiliated with Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Tomlinson was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.