DR. TOMAS G ANTONINI MD
NPI 1265494827
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Austin, TX

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
96.38/100
CMS Quality Rating
3407 GLENVIEW AVE, AUSTIN, TX 78703(512) 716-0861(866) 765-3913 Get Directions Write a Review

NPPES record last updated: February 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tomas G Antonini Md NPPES

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

DR. TOMAS G ANTONINI MD (NPI 1265494827) is an individual urogynecology and reconstructive pelvic surgery provider in Austin, Texas, licensed in Texas (L4221) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1265494827
Entity TypeIndividualMale
Primary Taxonomy207VF0040X
Provider Legal NameDR. TOMAS G ANTONINICredential: MD
Location Address3407 GLENVIEW AVEAustin, TX 78703-1448
Mailing Address3407 Glenview AveAustin, TX 78703-1448 · (512) 716-0861 · Fax (866) 765-3913
Fax(866) 765-3913
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 9, 2019
NPI 1265494827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License Licensed in TX · L4221
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License L4221 (TX)
3407 GLENVIEW AVE, Austin, TX 78703

Accepted 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

Dr. Tomas G Antonini 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 ID1759320120
PECOS Enrollment IDI20080310000329
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 22

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
2,200 services13 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
229 services159 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.
227 services131 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.
225 services157 patients
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784
This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
139 services93 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.
92 services73 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78703 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

96.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.76
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
88%387 patients4/55-star benchmark: 93%
Cervical Cancer Screening
97%233 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
99%1,112 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%336 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,104 patients2/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 356 patients
Patients totalRate: 2% · 356 patients
2%356 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3407 GLENVIEW AVE
AUSTIN, TX 78703
Internal Medicine
3407 GLENVIEW AVE
AUSTIN, TX 78703
Internal Medicine
3407 GLENVIEW AVE
AUSTIN, TX 78703
Internal Medicine
3407 GLENVIEW AVE
AUSTIN, TX 78703
Internal Medicine
3407 GLENVIEW AVE
AUSTIN, TX 78703
Internal Medicine
3407 GLENVIEW AVE
AUSTIN, TX 78703
Obstetrics & Gynecology
3407 GLENVIEW AVE
AUSTIN, TX 78703
Physician Assistant (Medical)
3407 GLENVIEW AVE
AUSTIN, TX 78703

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 Antonini's NPI number?

The NPI number for Tomas Antonini is 1265494827. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Tomas Antonini located?

Tomas Antonini practices at 3407 Glenview Ave, Austin, TX 78703. The listed phone number is (512) 716-0861.

What is Tomas Antonini's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Tomas Antonini enrolled in Medicare?

Yes. Tomas Antonini 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 Tomas Antonini accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Tomas Antonini 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 Tomas Antonini affiliated with any hospitals?

According to CMS data, Tomas Antonini is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Tomas Antonini was last updated on February 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.