DR. PAUL T TOM DPM
NPI 1164412037
Podiatrist in Salinas, CA

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
10/100
CMS Quality Rating
515 ALAMEDA AVE, SUITE D, SALINAS, CA 93901(831) 422-6711(831) 783-1862 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul T Tom Dpm NPPES

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

DR. PAUL T TOM DPM (NPI 1164412037) is an individual podiatrist in Salinas, California, licensed in California (E3531) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1987).

NPPES Registry Identity

NPI1164412037
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. PAUL T TOMCredential: DPM
Location Address515 ALAMEDA AVE, SUITE DSalinas, CA 93901-4024
Mailing Address515 Alameda Ave, Suite DSalinas, CA 93901-4024 · (831) 422-6711 · Fax (831) 783-1862
Fax(831) 783-1862
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1987
Enumeration DateOctober 24, 2005
Last NPPES UpdateApril 12, 2012
NPI 1164412037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E3531
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
515 ALAMEDA AVE, Salinas, CA 93901

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. Paul T Tom Dpm 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 ID5799854030
PECOS Enrollment IDI20080513000455
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.

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.
1,242 services353 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.
579 services183 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.
315 services107 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.
253 services109 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.
59 services44 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93901 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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.

10/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0

Other Providers at the Same Location NPPES 5

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

Optometrist
515 ALAMEDA AVE, STE C
SALINAS, CA 93901
Optometrist
515 ALAMEDA AVE, SUITE C
SALINAS, CA 93901
Dentist
515 ALAMEDA AVE
SALINAS, CA 93901
Physical Therapist (Orthopedic)
515 ALAMEDA AVE, STE. B
SALINAS, CA 93901
Physical Therapist
515 ALAMEDA AVE, SUITE B
SALINAS, CA 93901

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 Paul Tom's NPI number?

The NPI number for Paul Tom is 1164412037. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Paul Tom located?

Paul Tom practices at 515 Alameda Ave Suite D, Salinas, CA 93901. The listed phone number is (831) 422-6711.

What is Paul Tom's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Paul Tom enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Tom was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.