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GAIL ELIZABETH TOMLINSON MD
NPI 1316905268
Pediatrics - Pediatric Hematology-Oncology in San Antonio, TX

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
89.92/100
CMS Quality Rating
333 N SANTA ROSA, EIGHTH FLOOR, SAN ANTONIO, TX 78207(210) 257-1400(210) 257-1428 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gail Elizabeth Tomlinson Md NPPES

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

GAIL ELIZABETH TOMLINSON MD (NPI 1316905268) is an individual pediatric hematology-oncology provider in San Antonio, Texas, licensed in Texas (H5641) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1984).

NPPES Registry Identity

NPI1316905268
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameGAIL ELIZABETH TOMLINSONCredential: MD
Location Address333 N SANTA ROSA, EIGHTH FLOORSan Antonio, TX 78207-3108
Mailing Address7703 Floyd Curl Dr, Mc 7977San Antonio, TX 78229-3901 · (210) 257-1400 · Fax (210) 257-1428
Phone(210) 257-1400
Fax(210) 257-1428
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1984
Enumeration DateMay 2, 2006
Last NPPES UpdateMarch 17, 2008
✔ NPI 1316905268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · H5641
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License H5641 (TX)
Also ListedPediatricsTaxonomy 208000000X · License H5641 (TX)
333 N SANTA ROSA, San Antonio, TX 78207
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF36832
Other102174306TX · Cshcn
Medicaid102174305TX
Medicare PIN8J2118TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gail Elizabeth Tomlinson 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 ID5092769810
PECOS Enrollment IDI20050304000178
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 Gail Tomlinson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medicine Associates
0.6 mi
Family Medicine
903 W MARTIN ST # MS 49-2
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 1,129 clinicians in this Medicare group
NPI 1245313329 (210) 358-3401
University Of Texas Health Science Center At San Antonio
7.4 mi
Clinical Pathology/Laboratory Medicine
7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 2,397 clinicians in this Medicare group
NPI 1396717989 (210) 450-9000

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

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.

89.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.39
Promoting Interoperability100
Improvement Activities40
Cost62.89

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.

LATHA PRASANNAN MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
SOFIA SILVER COOK MD
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
NATALIE DIANE ETHRIDGE CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
BONNIE MCILYAR DURLEY DO
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3910
RAQUEL S PAZ
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (760) 912-1125
DR. OLGA M CAJAS MD
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-4966
LEA PORCHE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (713) 798-1750
SETH T SORENSEN PHD
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030

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 Gail Tomlinson's NPI number?

The NPI number for Gail Tomlinson is 1316905268. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Gail Tomlinson located?

Gail Tomlinson practices at 333 N Santa Rosa Eighth Floor, San Antonio, TX 78207. The listed phone number is (210) 257-1400.

What is Gail Tomlinson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Gail Tomlinson enrolled in Medicare?

Yes. Gail Tomlinson 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.

Which organizations bill Medicare for Gail Tomlinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Tomlinson reassigns Medicare benefits to 2 organizations: Community Medicine Associates (San Antonio, TX) and University Of Texas Health Science Center At San Antonio (San Antonio, TX). 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 Gail Tomlinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Tomlinson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and WellPoint list Gail Tomlinson 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 Gail Tomlinson was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.