DR. TOMAS WILLIAM ABALO M.D.
NPI 1336199975
Internal Medicine in Iron Mountain, MI
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 Healthcare Cadillac Hospital, and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Tomas Abalo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 124 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- 123 clinicians in this Medicare group
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Oak Ridge, TN 37830
- Reassigned Medicare billing, Kentucky enrollment
- 358 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Munson Healthcare Cadillac Hospital
Acute Care Hospitals · Cadillac, MIMunson Medical Center
Acute Care Hospitals · Traverse City, MIMunson Healthcare Manistee Hospital
Acute Care Hospitals · Manistee, MIPhysician 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.
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
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.
IRON MOUNTAIN, MI 49801
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.
Which organizations bill Medicare for Tomas Abalo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tomas Abalo reassigns Medicare benefits to 5 organizations: Sound Inpatient Physicians - Michigan, PLLC (Escanaba, MI), Grand Traverse Physician Services PC (Traverse City, MI), Wexford Physician Services PC (Cadillac, MI), Theoria Medical (Brighton, MI) and Southeastern Physician Services PC (Oak Ridge, TN). 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 Tomas Abalo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tomas Abalo accept?
Health plans from 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 Healthcare Cadillac Hospital, Munson Medical Center and Munson Healthcare Manistee Hospital.
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.
# Dr. Tomas William Abalo, M.D. · NPI 1336199975
Internal Medicine physician in Iron Mountain, Michigan. Individual provider, active in the CMS NPPES registry since May 12, 2006.
## Identity
- **NPI:** 1336199975 (Entity type: Individual)
- **Enumerated:** May 12, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 4301073402 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 325 E H ST, Iron Mountain, MI 49801-4760
- **Phone:** (906) 774-3300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sound Inpatient Physicians - Michigan, PLLC (NPI 1366768178, Escanaba, MI); Grand Traverse Physician Services PC (NPI 1932913217, Traverse City, MI); Wexford Physician Services PC (NPI 1649084260, Cadillac, MI); Theoria Medical (NPI 1164186946, Brighton, MI); Southeastern Physician Services PC (NPI 1083835441, Oak Ridge, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** May 3, 2023
- **Other identifiers:** Other 110217938 (MI); Other 0987559 (MI); Medicaid 3524658 (MI); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1336199975) · Data from the CMS NPPES public registry.