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DR. TOMAS ALMONTE MADRILEJOS MD
NPI 1245266402
Family Medicine in Medina, OH

Active since June 22, 2006PECOS Enrolled
930 E WASHINGTON ST, MEDINA, OH 44256(330) 723-3220 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tomas Almonte Madrilejos Md NPPES

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

DR. TOMAS ALMONTE MADRILEJOS MD (NPI 1245266402) is an individual family medicine provider in Medina, Ohio, licensed in Ohio (35042895) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245266402
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TOMAS ALMONTE MADRILEJOSCredential: MD
Location Address930 E WASHINGTON STMedina, OH 44256-2130
Mailing Address930 E Washington StMedina, OH 44256-2130 · (330) 723-3220
Phone(330) 723-3220
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJanuary 23, 2015
✔ NPI 1245266402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35042895
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
930 E WASHINGTON ST, Medina, OH 44256
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Other Identifiers 2

Medicare UPINA77921OH
Medicaid0389404OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tomas Almonte Madrilejos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tomas Madrilejos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Incare Health Solutions, LLC
47 mi
Primary Care
375 N LEXINGTON SPRINGMILL RD
Ontario, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • 221 clinicians in this Medicare group
NPI 1639621824 (419) 528-0047

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.

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.
36 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
22 services19 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients
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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Tomas Madrilejos's NPI number?

The NPI number for Tomas Madrilejos is 1245266402. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Tomas Madrilejos located?

Tomas Madrilejos practices at 930 E Washington St, Medina, OH 44256. The listed phone number is (330) 723-3220.

What is Tomas Madrilejos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tomas Madrilejos enrolled in Medicare?

Yes. Tomas Madrilejos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tomas Madrilejos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tomas Madrilejos reassigns Medicare benefits to Incare Health Solutions, LLC (Ontario, OH). 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 Tomas Madrilejos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tomas Madrilejos accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Tomas Madrilejos 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.

When was this NPI record last updated?

The NPPES record for Tomas Madrilejos was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.