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MICHELLE E TOMES MD
NPI 1265484679
Family Medicine in St. Paul, MN

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
205 S WABASHA ST, MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC, ST. PAUL, MN 55107(651) 293-8100(651) 293-8106 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle E Tomes Md NPPES

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

MICHELLE E TOMES MD (NPI 1265484679) is an individual family medicine provider in St. Paul, Minnesota, licensed in Minnesota (48226) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and is a graduate of University Of Minnesota Medical School (2003).

NPPES Registry Identity

NPI1265484679
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE E TOMESCredential: MD
Location Address205 S WABASHA ST, MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINICSt. Paul, MN 55107-1805
Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516
Phone(651) 293-8100
Fax(651) 293-8106
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2003
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 6, 2020
NPPES CertifiedMay 6, 2020
✔ NPI 1265484679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 48226
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.
205 S WABASHA ST, St. Paul, MN 55107
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Other Names 1

Former Name (1)Michelle E Johnson Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Michelle E Tomes 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 ID8921019365
PECOS Enrollment IDI20060522000023
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 8

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.
107 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
75 services46 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.
32 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
25 services25 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers19 claims51 services$6.20 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.

BRUCE M JOHNSON MD
Internal Medicine
205 S WABASHA ST, HEALTHPARTNERS ST. PAUL CLINIC - MAIL STOP 31300A
ST. PAUL, MN 55107
Ramsey County (651) 293-8100
ASIMA YASIN M.D.
Family Medicine
205 S WABASHA ST, HEALTHPARTNERS ST. PAUL CLINIC - MAIL STOP 31300A
ST. PAUL, MN 55107
Ramsey County (651) 293-8100
ROBERT N KOCH MD
Internal Medicine
205 S WABASHA ST, HEALTHPARTNERS ST. PAUL CLINIC - MAIL STOP 31300A
ST. PAUL, MN 55107
Ramsey County (651) 293-8100
MRS. JOY L KRAJNA FNP
Nurse Practitioner
205 S WABASHA ST, MAIL STOP 31300A
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100
PATRICK S INVEEN M.D.
Family Medicine
205 S WABASHA ST, MAIL STOP 31300A - HEALTHPARTNERS ST. PAUL CLINIC
ST. PAUL, MN 55107
Ramsey County (651) 293-8100
COLLEEN R WALSH ANP
Nurse Practitioner
205 S WABASHA ST, MAIL STOP 31300A
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100
JOHN R GRITTNER
Dentist
205 S WABASHA ST
ST. PAUL, MN 55107
Ramsey County (651) 293-8300
RALPH S BOVARD MD
Preventive Medicine (Occupational Medicine)
205 S WABASHA ST, MAIL STOP 31300A HEALTHPARTNERS ST. PAUL CLINIC
ST. PAUL, MN 55107
Ramsey County (651) 293-8100

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 Michelle Tomes's NPI number?

The NPI number for Michelle Tomes is 1265484679. It was assigned to this individual provider in the NPPES registry on May 16, 2006. The provider is also known as Michelle E Johnson MD.

Where is Michelle Tomes located?

Michelle Tomes practices at 205 S Wabasha St Mail Stop 31300A - Healthpartners St. Paul Clinic, St. Paul, MN 55107. The listed phone number is (651) 293-8100.

What is Michelle Tomes's specialty?

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

Is Michelle Tomes enrolled in Medicare?

Yes. Michelle Tomes 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 Michelle Tomes accept?

Health plans from HealthPartners and Medica list Michelle Tomes 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 Michelle Tomes affiliated with any hospitals?

According to CMS data, Michelle Tomes is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Tomes was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.