DR. TODD N TOM MD
NPI 1154327559
Surgery in South Williamson, KY
About Dr. Todd N Tom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TODD N TOM MD (NPI 1154327559) is an individual surgery provider in South Williamson, Kentucky, licensed in Kentucky (39872) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Southern Regional Medical Center, and is a graduate of Other (1983).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Todd N Tom 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.
Medicare Billing Reassignment
Medicare enrollment records show Todd Tom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 111 clinicians in this Medicare group
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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Regional Medical Center
Acute Care Hospitals · Riverdale, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH WILLIAMSON, KY 41503
SOUTH WILLIAMSON, KY 41503
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 Todd Tom's NPI number?
The NPI number for Todd Tom is 1154327559. It was assigned to this individual provider in the NPPES registry on June 22, 2005.
Where is Todd Tom located?
Todd Tom practices at 306 Hospital Dr Ste 100, South Williamson, KY 41503. The listed phone number is (606) 237-1789.
What is Todd Tom's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Todd Tom enrolled in Medicare?
Yes. Todd 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.
Which organization bills Medicare for Todd Tom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Tom reassigns Medicare benefits to Southern Regional Physicians Management Group, LLC (Riverdale, GA). The 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 Todd Tom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Todd Tom accept?
Health plans from CareSource, Molina Healthcare and Oscar Health list Todd 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 Todd Tom affiliated with any hospitals?
According to CMS data, Todd Tom is affiliated with Southern Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Todd Tom was last updated on May 21, 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.
# Dr. Todd N Tom, MD · NPI 1154327559
Surgery physician in South Williamson, Kentucky. Individual provider, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1154327559 (Entity type: Individual)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 39872 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 306 HOSPITAL DR STE 100, South Williamson, KY 41503-4095
- **Phone:** (606) 237-1789 · **Fax:** (606) 237-1797
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern Regional Physicians Management Group, LLC (NPI 1043677271, Riverdale, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** May 21, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1154327559) · Data from the CMS NPPES public registry.