KATIE LYNN RUDY-TOMCZAK FNP
NPI 1235428053
Nurse Practitioner - Family in Montvale, NJ

Q: What is Katie Rudy-tomczak's NPI number?

The NPI number for Katie Rudy-tomczak is 1235428053. It was assigned to this individual provider in the NPPES registry on April 1, 2011. The provider is also known as Katie Lynn Rudy Fnp.

Q: What is Katie Rudy-tomczak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 01, 2011PECOS EnrolledAccepts Medicare Assignment

88.16/100

CMS Quality Rating

225 SUMMIT AVE, MONTVALE, NJ 07645(201) 775-7000 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2020, Oct 4, 2019, Sep 20, 2019 and 1 more (4 updates tracked since 2015).

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About Katie Lynn Rudy-tomczak Fnp NPPES

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

KATIE LYNN RUDY-TOMCZAK FNP (NPI 1235428053) is an individual family provider in Montvale, New Jersey, licensed in New York (F336499) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Middletown, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1235428053

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATIE LYNN RUDY-TOMCZAKCredential: FNP

Location Address225 SUMMIT AVEMontvale, NJ 07645-1523

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(201) 775-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 1, 2011

Last NPPES UpdateOctober 14, 20204 updates tracked since enumeration

NPPES CertifiedOctober 14, 2020

✔ NPI 1235428053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NY · F336499✔ Licensed in NJ · 26NJ00947900

225 SUMMIT AVE, Montvale, NJ 07645

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Other Names 1

Former Name (1)Katie Lynn Rudy Fnp

Secondary Practice Location 1

Location 1155 Crystal Run RdMiddletown, NY 10941-4028 · Phone (845) 703-6999 · Fax (845) 703-6297

Other Identifiers 1

Medicaid03331633NY

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

Katie Lynn Rudy-tomczak Fnp 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 ID4183800055

PECOS Enrollment IDI20200122001864

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

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.

313 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07645 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

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.

88.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.99

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers18 claims1,218 services$0.74 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers14 claims14 services$18.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DIANA ALDONA ROTH O'BRIEN MD, MPH, BA

Radiology (Radiation Oncology)