ANTHONY TOMASSI M.D.
NPI 1306047659
Family Medicine in Reading, PA

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
76.41/100
CMS Quality Rating
838 PENN ST, READING, PA 19602(610) 988-4838 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Tomassi M.d. NPPES

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

ANTHONY TOMASSI M.D. (NPI 1306047659) is an individual family medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (MD431309) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Temple University School Of Medicine (2004).

NPPES Registry Identity

NPI1306047659
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY TOMASSICredential: M.D.
Location Address838 PENN STReading, PA 19602-1108
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2004
Enumeration DateMay 31, 2007
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
NPI 1306047659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD431309
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.
838 PENN ST, Reading, PA 19602

Other Identifiers 1

Medicaid101906074PA

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

Anthony Tomassi 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 ID3779684238
PECOS Enrollment IDI20070727000339
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 16

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.
259 services252 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
159 services154 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.
91 services91 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
48 services46 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.
40 services39 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19602 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.02
Promoting Interoperability96
Improvement Activities40
Cost43.7

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$6.52 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.

Family Medicine
838 PENN ST
READING, PA 19602
Nurse Practitioner (Family)
838 PENN ST
READING, PA 19602
Pharmacy (Community/Retail Pharmacy)
838 PENN ST
READING, PA 19602
Nurse Practitioner (Family)
838 PENN ST
READING, PA 19602
Internal Medicine
838 PENN ST
READING, PA 19602
Psychiatry & Neurology (Psychiatry)
838 PENN ST
READING, PA 19602
Optometrist
838 PENN ST
READING, PA 19602
Social Worker (Clinical)
838 PENN ST
READING, PA 19602

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 Anthony Tomassi's NPI number?

The NPI number for Anthony Tomassi is 1306047659. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Anthony Tomassi located?

Anthony Tomassi practices at 838 Penn St, Reading, PA 19602. The listed phone number is (610) 988-4838.

What is Anthony Tomassi's specialty?

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

Is Anthony Tomassi enrolled in Medicare?

Yes. Anthony Tomassi 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 Anthony Tomassi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Anthony Tomassi 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 Anthony Tomassi affiliated with any hospitals?

According to CMS data, Anthony Tomassi is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Tomassi was last updated on July 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.