KEVIN M TOMERA M.D.
NPI 1255385258
Urology in Beloit, WI

Q: What is Kevin Tomera's NPI number?

The NPI number for Kevin Tomera is 1255385258. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Q: What is Kevin Tomera's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Tomera was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment

1905 E. HUEBBE PARKWAY, BELOIT CLINIC, BELOIT, WI 53511(608) 364-2470(608) 363-7378 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 23, 2017 (2 updates tracked since 2017).

On this page

About Kevin M Tomera M.d. NPPES

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

KEVIN M TOMERA M.D. (NPI 1255385258) is an individual urology provider in Beloit, Wisconsin, licensed in Wisconsin (65999-20) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Beloit Health System, and is a graduate of Northwestern University Feinberg Medical School (1978).

NPPES Registry Identity

NPI1255385258

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameKEVIN M TOMERACredential: M.D.

Location Address1905 E. HUEBBE PARKWAY, BELOIT CLINICBeloit, WI 53511-1842

Mailing Address1905 E. Huebbe Parkway, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2200 · Fax (608) 363-7395

Phone(608) 364-2470

Fax(608) 363-7378

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1978

Enumeration DateMay 22, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1255385258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in WI · 65999-20✔ Licensed in MA · 248468✔ Licensed in AK · AK6700892

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1905 E. HUEBBE PARKWAY, Beloit, WI 53511

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Other Identifiers 1

MedicaidMD0058AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz.Insurance ›

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

Kevin M Tomera 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 ID4688569593

PECOS Enrollment IDI20170920001661

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 17

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.

604 services289 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.

413 services213 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

100 services84 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.

76 services76 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.

47 services47 patients

Insertion of tube into ureter using an endoscope through bladder area 52005

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

30 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services28 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.

29 services25 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

27 services27 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

26 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

23 services20 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

21 services14 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

18 services11 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

16 services12 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

15 services15 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

13 services11 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm 52224

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Beloit Health System

Acute Care Hospitals · Beloit, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520100

Location1969 W Hart RdBeloit, WI 53511 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53511 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers14 claims36 services$8.87 avg. paid by Medicare

Ostomy skin barrier, powder, per oz A4371

DME-Orthotic Devices · category DF010N

2 suppliers14 claims19 services$3.34 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier12 claims210 services$4.93 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

2 suppliers15 claims750 services$0.22 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers24 claims24 services$34.21 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

2 suppliers13 claims375 services$0.22 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.

VIJAYA SOMARAJU M.D.

Internal Medicine (Infectious Disease)

1905 E. HUEBBE PARKWAY, BELOIT CLINIC
BELOIT, WI 53511

Rock County (608) 364-2240

STEVEN S. YANG M.D.

Internal Medicine (Gastroenterology)

1905 E. HUEBBE PARKWAY
BELOIT, WI 53511

Rock County (608) 364-1460

WILLIAM M FITZGERALD II MD

Internal Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA M. POPLAWSKA GOETZEN MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2410

DR. JACK-KY WANG MD

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM, INC
BELOIT, WI 53511

Rock County (608) 364-2410

ALAN J REHBEIN OD

Optometrist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIA E TAVERAS MD

Internal Medicine (Cardiovascular Disease)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2400

DR. CHRISTEL TECARRO MD.

Family Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2240

LARRY M OJEDA MD

Urology

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

RONALD L KODRAS MD

Internal Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

DR. ANNABELLE A. TOLENTINO MD.

Internal Medicine

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2240

THOMAS MICHAEL VALENTINE PT

Physical Therapist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2200

DIMITRIOS I FANOPOULOS MD MPH

Internal Medicine (Rheumatology)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

MARIO ROJAS MD

Ophthalmology

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2204

ABRAHAM R RODRIGUEZ MD

Pediatrics

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2220

CAROLYN ANN JONES N.P.

Nurse Practitioner

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2200

CARRIE GLOVER NP

Nurse Practitioner (Gerontology)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

KRZYSZTOF GOETZEN MD

Psychiatry & Neurology (Neurology)

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

JOSHUA SHUCHA PT

Physical Therapist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511

Rock County (608) 364-2230

REBECCA LYNN WHITE PT

Physical Therapist

1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511

Rock County (608) 364-2200

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 Kevin Tomera's NPI number?

The NPI number for Kevin Tomera is 1255385258. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Kevin Tomera located?

Kevin Tomera practices at 1905 E. Huebbe Parkway Beloit Clinic, Beloit, WI 53511. The listed phone number is (608) 364-2470.

What is Kevin Tomera's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kevin Tomera enrolled in Medicare?

Yes. Kevin Tomera 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.

What insurance does Kevin Tomera accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW and Quartz list Kevin Tomera 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.

Is Kevin Tomera affiliated with any hospitals?

According to CMS data, Kevin Tomera is affiliated with Beloit Health System.

When was this NPI record last updated?

The NPPES record for Kevin Tomera was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.