1. Home
  2. Directory
  3. Michigan
  4. Iron Mountain
  5. Internal Medicine
  6. NPI Profile

DR. TOMAS WILLIAM ABALO M.D.
NPI 1336199975
Internal Medicine in Iron Mountain, MI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
325 E H ST, IRON MOUNTAIN, MI 49801(906) 774-3300 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Oct 14, 2016 (2 updates tracked since 2016).

About Dr. Tomas William Abalo M.d. NPPES

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

DR. TOMAS WILLIAM ABALO M.D. (NPI 1336199975) is an individual internal medicine provider in Iron Mountain, Michigan, licensed in Michigan (4301073402) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1336199975
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TOMAS WILLIAM ABALOCredential: M.D.
Location Address325 E H STIron Mountain, MI 49801-4760
Mailing Address305 Scenic CirMidland, MI 48642-7196 · (989) 941-1358
Phone(906) 774-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMay 12, 2006
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1336199975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 4301073402✔ Licensed in SD · 10097
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 4301073402 (MI)
325 E H ST, Iron Mountain, MI 49801
Open in Google Maps ↗

Other Identifiers 6

Other110217938MI · Metrahealth Rr
Other0987559MI · Healthplus
Medicaid3524658MI
Other1108273981MI · Bcbs
Other382567464052MI · Community Choice Mi
OtherP00261665MI · Metrahealth Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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. Tomas William Abalo 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 ID9638126428
PECOS Enrollment IDI20050404000968
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.

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49801 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
46%24 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JANICE LYNN BOLANDER LMSW
Social Worker (Clinical)
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
SUSAN SCULLON
Registered Nurse (Home Health)
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
DR. ALEXANDRA PERICOLOSI DMD
Dentist
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MRS. KELSEY MELLON
Registered Nurse
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MOLLY STENFORS RN
Registered Nurse
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
DR. KIRK L SUSOTT M.D.
Urology
325 E H ST, OSCAR G. JOHNSON VA MEDICAL CENTER
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MARY-BETH M LIMBACK MD
Surgery
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300
MR. MICHAEL CRAIG NELSON RPH
Pharmacist
325 E H ST
IRON MOUNTAIN, MI 49801
Dickinson County (906) 774-3300

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 Tomas Abalo's NPI number?

The NPI number for Tomas Abalo is 1336199975. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Tomas Abalo located?

Tomas Abalo practices at 325 E H St, Iron Mountain, MI 49801. The listed phone number is (906) 774-3300.

What is Tomas Abalo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tomas Abalo enrolled in Medicare?

Yes. Tomas Abalo 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 Tomas Abalo accept?

Health plans from McLaren Health Plan Community and Priority Health list Tomas Abalo 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 Tomas Abalo affiliated with any hospitals?

According to CMS data, Tomas Abalo is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Tomas Abalo was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.