DR. TOM A HARTSUCH M.D.
NPI 1306830252
Obstetrics & Gynecology - Gynecology in Cumberland, MD

Active since September 07, 2005PECOS Enrolled
12502 WILLOWBROOK RD, SUITE 660, CUMBERLAND, MD 21502(240) 964-8760(240) 964-8769 Get Directions Write a Review

NPPES record last updated: August 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tom A Hartsuch M.d. NPPES

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

DR. TOM A HARTSUCH M.D. (NPI 1306830252) is an individual gynecology provider in Cumberland, Maryland, licensed in Maryland (D0056074) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (1984).

NPPES Registry Identity

NPI1306830252
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. TOM A HARTSUCHCredential: M.D.
Location Address12502 WILLOWBROOK RD, SUITE 660Cumberland, MD 21502-6491
Mailing Address12502 Willowbrook Rd, Suite 660Cumberland, MD 21502-6491 · (240) 964-8760 · Fax (240) 964-8769
Fax(240) 964-8769
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1984
Enumeration DateSeptember 7, 2005
Last NPPES UpdateAugust 11, 2015
✔ NPI 1306830252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in MD · D0056074
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
12502 WILLOWBROOK RD, Cumberland, MD 21502

Other Identifiers 4

Other233044076MD · Tax Id
OtherD0056074MD · State License
Medicare UPINF04721MD
Medicare PIN937L448EMD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tom A Hartsuch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981876208
PECOS Enrollment IDI20260430002441
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

3

Medicare enrollment records show Tom Hartsuch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
12502 WILLOWBROOK RD, SUITE 380
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 210 clinicians in this Medicare group
Internal Medicine
12502 WILLOWBROOK RD
Cumberland, MD 21502
  • Reassigned Medicare billing, Maryland enrollment
  • 318 clinicians in this Medicare group
Hospitalist
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group

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 21502 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

Physician Assistant
12502 WILLOWBROOK RD, SUITE 470
CUMBERLAND, MD 21502
Nurse Practitioner
12502 WILLOWBROOK RD, SUITE 280
CUMBERLAND, MD 21502
Physician Assistant (Medical)
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Practitioner
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Dietitian, Registered
12502 WILLOWBROOK RD, SUITE 300
CUMBERLAND, MD 21502
Dietitian, Registered
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Practitioner
12502 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Practitioner (Psychiatric/Mental Health)
12502 WILLOWBROOK RD, STE 380
CUMBERLAND, MD 21502

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 Tom Hartsuch's NPI number?

The NPI number for Tom Hartsuch is 1306830252. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Tom Hartsuch located?

Tom Hartsuch practices at 12502 Willowbrook Rd Suite 660, Cumberland, MD 21502. The listed phone number is (240) 964-8760.

What is Tom Hartsuch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Tom Hartsuch enrolled in Medicare?

Yes. Tom Hartsuch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tom Hartsuch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tom Hartsuch reassigns Medicare benefits to 3 organizations: Upmc Western Maryland Corporation (Cumberland, MD), Upmc Western Maryland Health Services, LLC (Cumberland, MD) and Ob Hospitalist Group LLC (Jacksonville, FL). 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 Tom Hartsuch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tom Hartsuch accept?

Health plans from CareSource list Tom Hartsuch 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.

When was this NPI record last updated?

The NPPES record for Tom Hartsuch was last updated on August 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.