ROBERT L TOMSAK MD, PHD
NPI 1336162122
Ophthalmology in Detroit, MI

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
4717 ST ANTOINE, KRESGE EYE INSTITUTE, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert L Tomsak Md, Phd NPPES

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

ROBERT L TOMSAK MD, PHD (NPI 1336162122) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301095698) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1977).

NPPES Registry Identity

NPI1336162122
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameROBERT L TOMSAKCredential: MD, PHD
Location Address4717 ST ANTOINE, KRESGE EYE INSTITUTEDetroit, MI 48201-1423
Mailing Address1560 E. Maple Rd, Suite 400-credentialingTroy, MI 48083-1189 · (248) 581-5976 · Fax (248) 581-5640
Fax(313) 577-0700
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1977
Enumeration DateJuly 25, 2006
Last NPPES UpdateNovember 10, 2015
NPI 1336162122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MI · 4301095698 Licensed in OH · 35-043259
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
4717 ST ANTOINE, Detroit, MI 48201

Other Identifiers 13

OtherP00398391OH · Railroad Medicare
Other2386992OH · Aetna
Medicare PINTO0481088OH
Medicare PINTO4059656OH
Other130023873Mcr Rr
Medicaid0445718OH
Medicare UPINA79563
Other738110OH · Buckeye Medicaid
Medicare PINTO4059655OH
Medicare PIN0P30630648MI
Other000000221074OH · Unison
Other000000510698OH · Anthem
Other364082OH · Wellcare Medicaid

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

Robert L Tomsak Md, Phd 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 ID9335244623
PECOS Enrollment IDI20100315000761
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

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
41 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
4717 ST ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Ophthalmology
4717 ST ANTOINE
DETROIT, MI 48201
Ophthalmology
4717 ST ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201
Ophthalmology
4717 ST ANTOINE, KRESGE EYE INSTITUTE
DETROIT, MI 48201

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 Robert Tomsak's NPI number?

The NPI number for Robert Tomsak is 1336162122. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Robert Tomsak located?

Robert Tomsak practices at 4717 St Antoine Kresge Eye Institute, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Robert Tomsak's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Robert Tomsak enrolled in Medicare?

Yes. Robert Tomsak 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 Robert Tomsak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Robert Tomsak 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 Robert Tomsak was last updated on November 10, 2015. 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.