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DR. TERRENCE C. TUOMINEN MD
NPI 1275694648
Otolaryngology in Ashland, WI

Active since December 12, 2006PECOS Enrolled
89.68/100
CMS Quality Rating
1615 MAPLE LN, ASHLAND, WI 54806(715) 685-6010(715) 682-2804 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Terrence C. Tuominen Md NPPES

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

DR. TERRENCE C. TUOMINEN MD (NPI 1275694648) is an individual otolaryngology provider in Ashland, Wisconsin, licensed in Wisconsin (37070) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275694648
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TERRENCE C. TUOMINENCredential: MD
Location Address1615 MAPLE LNAshland, WI 54806-3610
Mailing Address1615 Maple LnAshland, WI 54806-3610 · (715) 685-6010 · Fax (715) 682-2804
Phone(715) 685-6010
Fax(715) 682-2804
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 23, 2016
✔ NPI 1275694648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in WI · 37070✔ Licensed in MI · 4301081506
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License 37070 (WI), 4301081506 (MI)
1615 MAPLE LN, Ashland, WI 54806
Open in Google Maps ↗

Other Identifiers 6

Medicare UPING20446MI
Medicare ID-Type Unspecified0E27609035MI · Medicare
OtherTT081506MI · Bcbs License
Medicare UPING20446
Medicaid104798862MI
Medicare PIN004960123WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Terrence C. Tuominen 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 Reassignments

2

Medicare enrollment records show Terrence Tuominen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Medical Center Inc
Same address
Critical Access
1615 MAPLE LN
Ashland, WI 54806
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 clinicians in this Medicare group
NPI 1437179231 (715) 685-5500
Westfields Hospital, Inc.
129 mi
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
NPI 1881640183 (715) 243-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54806 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.

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.

89.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.23
Promoting Interoperability100
Improvement Activities40

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.

BARBARA E JUSULA NP
Registered Nurse
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
KEVIN J MCCLELLAND MD
Internal Medicine (Gastroenterology)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5290
MS. MELISSA JEAN MALMBERG DNP
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
ALEXANDER HEINZ
Emergency Medicine
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
ASHLAND PATHOLOGY SERVICES SC
Pathology (Anatomic Pathology & Clinical Pathology)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5440
THOMAS WILLIAM JORGENSEN
Nurse Anesthetist, Certified Registered
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
JOHN FLORIAN HUSSA MD AODAC
Internal Medicine (Addiction Medicine)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
BRITTNY WHITE SAC-IT
Counselor (Addiction (Substance Use Disorder))
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5400

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 Terrence Tuominen's NPI number?

The NPI number for Terrence Tuominen is 1275694648. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Terrence Tuominen located?

Terrence Tuominen practices at 1615 Maple Ln, Ashland, WI 54806. The listed phone number is (715) 685-6010.

What is Terrence Tuominen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Terrence Tuominen enrolled in Medicare?

Yes. Terrence Tuominen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Terrence Tuominen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terrence Tuominen reassigns Medicare benefits to 2 organizations: Memorial Medical Center Inc (Ashland, WI) and Westfields Hospital, Inc. (New Richmond, WI). Each 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 Terrence Tuominen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Terrence Tuominen was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.