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THOMAS MCDUFFY TOLBERT MD
NPI 1184037970
Internal Medicine - Sleep Medicine in New York, NY

Active since June 09, 2014PECOS EnrolledAccepts Medicare Assignment
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029(203) 804-2932 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, May 13, 2021 (2 updates tracked since 2021).

About Thomas Mcduffy Tolbert Md NPPES

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

THOMAS MCDUFFY TOLBERT MD (NPI 1184037970) is an individual sleep medicine provider in New York, New York, licensed in New York (289537) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184037970
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameTHOMAS MCDUFFY TOLBERTCredential: MD
Location Address1 GUSTAVE L LEVY PLNew York, NY 10029-6504
Mailing Address1 Gustave L Levy Place, Box 1232New York, NY 10029 · (203) 804-2932
Phone(203) 804-2932
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2014
Enumeration DateJune 9, 2014
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1184037970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in NY · 289537
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
1 GUSTAVE L LEVY PL, New York, NY 10029
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Secondary Practice Locations 3

Location 11450 Madison AveNew York, NY 10029-6508 · Phone (212) 241-5098
Location 2310 E 14th StNew York, NY 10003-4284 · Phone (212) 614-8288
Location 310 E 102nd StNew York, NY 10029-6030 · Phone (212) 241-5656 · Fax (212) 241-8866

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

Thomas Mcduffy Tolbert 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.

PECOS PAC ID9739400235
PECOS Enrollment IDI20210603003282
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 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.
32 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services13 patients
Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation G0398
A home sleep study test with a type II portable monitor is a non-invasive procedure done at home to monitor your sleep. It records data like brain waves, eye movements, muscle activity, heart rate, breathing, and oxygen levels. This helps identify sleep disorders.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Ny Eye And Ear Infirmary Of Mount Sinai

Acute Care Hospitals · New York, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330100
Location230 Second AveNew York, NY 10003 · New York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers31 claims31 services$32.87 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers12 claims12 services$78.15 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers23 claims124 services$16.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers32 claims32 services$48.48 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers22 claims22 services$16.10 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers39 claims209 services$1.79 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.

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 Thomas Tolbert's NPI number?

The NPI number for Thomas Tolbert is 1184037970. It was assigned to this individual provider in the NPPES registry on June 9, 2014.

Where is Thomas Tolbert located?

Thomas Tolbert practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (203) 804-2932.

What is Thomas Tolbert's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Thomas Tolbert enrolled in Medicare?

Yes. Thomas Tolbert 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.

Is Thomas Tolbert affiliated with any hospitals?

According to CMS data, Thomas Tolbert is affiliated with Mount Sinai Hospital and Ny Eye And Ear Infirmary Of Mount Sinai.

When was this NPI record last updated?

The NPPES record for Thomas Tolbert was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.