DR. TOMMY JOHN PETROS M.D.
NPI 1295029387
Family Medicine - Hospice and Palliative Medicine in Columbus, OH

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
800 MCCONNELL DR, COLUMBUS, OH 43214(614) 566-5019(614) 566-1901 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2022, May 6, 2021, Nov 10, 2017 (3 updates tracked since 2017).

About Dr. Tommy John Petros M.d. NPPES

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

DR. TOMMY JOHN PETROS M.D. (NPI 1295029387) is an individual hospice and palliative medicine provider in Columbus, Ohio, licensed in Ohio (35.132455) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1295029387
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NameDR. TOMMY JOHN PETROSCredential: M.D.
Location Address800 MCCONNELL DRColumbus, OH 43214-3463
Mailing Address800 Mcconnell DrColumbus, OH 43214-3463 · (614) 566-5019 · Fax (614) 566-1901
Fax(614) 566-1901
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 6, 2011
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPI 1295029387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License Licensed in OH · 35.132455
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
800 MCCONNELL DR, Columbus, OH 43214

Other Identifiers 1

Medicaid0250495OH

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. Tommy John Petros 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 ID6406113810
PECOS Enrollment IDI20171120001513
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 3

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.

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.
86 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Nurse Practitioner (Adult Health)
800 MCCONNELL DR
COLUMBUS, OH 43214
Nurse Practitioner
800 MCCONNELL DR
COLUMBUS, OH 43214
Nurse Practitioner (Family)
800 MCCONNELL DR
COLUMBUS, OH 43214
Internal Medicine (Hospice and Palliative Medicine)
800 MCCONNELL DR
COLUMBUS, OH 43214
Internal Medicine (Hospice and Palliative Medicine)
800 MCCONNELL DR
COLUMBUS, OH 43214
Internal Medicine
800 MCCONNELL DR
COLUMBUS, OH 43214
Internal Medicine (Hospice and Palliative Medicine)
800 MCCONNELL DR
COLUMBUS, OH 43214
Nurse Practitioner (Family)
800 MCCONNELL DR
COLUMBUS, OH 43214

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 Tommy Petros's NPI number?

The NPI number for Tommy Petros is 1295029387. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Tommy Petros located?

Tommy Petros practices at 800 Mcconnell Dr, Columbus, OH 43214. The listed phone number is (614) 566-5019.

What is Tommy Petros's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Tommy Petros enrolled in Medicare?

Yes. Tommy Petros 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 Tommy Petros accept?

Health plans from CareSource and MedMutual list Tommy Petros 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 Tommy Petros affiliated with any hospitals?

According to CMS data, Tommy Petros is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Tommy Petros was last updated on January 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.