CYNTHIA TOM M.D.
NPI 1245632033
Surgery in Fresno, CA

Active since September 23, 2014PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
6121 N THESTA ST STE 202, FRESNO, CA 93710(559) 440-0283 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, Jun 15, 2020 (2 updates tracked since 2020).

About Cynthia Tom M.d. NPPES

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

CYNTHIA TOM M.D. (NPI 1245632033) is an individual surgery provider in Fresno, California, licensed in California (A138001) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245632033
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameCYNTHIA TOMCredential: M.D.
Location Address6121 N THESTA ST STE 202Fresno, CA 93710-5294
Mailing Address6121 N Thesta St Ste 202Fresno, CA 93710-5294 · (559) 440-0283
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 23, 2014
Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1245632033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in CA · A138001
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

6121 N THESTA ST STE 202, Fresno, CA 93710

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

Cynthia Tom M.d. 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 ID1254736937
PECOS Enrollment IDI20210818001324
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 10

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 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.
74 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
61 services22 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.
49 services39 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services40 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
41 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

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.

Colon & Rectal Surgery
6121 N THESTA ST STE 202
FRESNO, CA 93710
Colon & Rectal Surgery
6121 N THESTA ST STE 202
FRESNO, CA 93710
Colon & Rectal Surgery
6121 N THESTA ST STE 202
FRESNO, CA 93710
Colon & Rectal Surgery
6121 N THESTA ST STE 202
FRESNO, CA 93710

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 Cynthia Tom's NPI number?

The NPI number for Cynthia Tom is 1245632033. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Cynthia Tom located?

Cynthia Tom practices at 6121 N Thesta St Ste 202, Fresno, CA 93710. The listed phone number is (559) 440-0283.

What is Cynthia Tom's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Cynthia Tom enrolled in Medicare?

Yes. Cynthia 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 Cynthia Tom was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.