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RAGHURAJ S TOMAR MD
NPI 1467412858
Internal Medicine in Vineland, NJ

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
77.51/100
CMS Quality Rating
2815 E CHESTNUT AVE, VINELAND, NJ 08361(856) 696-9697(856) 691-0440 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2025, Aug 20, 2024, Feb 25, 2019 (3 updates tracked since 2019).

About Raghuraj S Tomar Md NPPES

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

RAGHURAJ S TOMAR MD (NPI 1467412858) is an individual internal medicine provider in Vineland, New Jersey, licensed in New Jersey (25MA05775600) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1467412858
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAGHURAJ S TOMARCredential: MD
Location Address2815 E CHESTNUT AVEVineland, NJ 08361-8466
Mailing Address76 S State StVineland, NJ 08360-4851 · (856) 696-9697 · Fax (856) 691-0440
Phone(856) 696-9697
Fax(856) 691-0440
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMarch 28, 2006
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1467412858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA05775600
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.
2815 E CHESTNUT AVE, Vineland, NJ 08361
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Other Identifiers 1

Medicaid6189105NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Raghuraj S Tomar 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 ID5698799765
PECOS Enrollment IDI20060120000313
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,983 services471 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
996 services122 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
560 services466 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
241 services188 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
55 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08361 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

77.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality58.8
Promoting Interoperability100
Improvement Activities40
Cost32.92

Reported Quality Measures

Breast Cancer Screening
52%130 patients3/55-star benchmark: 93%
Cervical Cancer Screening
12%199 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
33%289 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
59%251 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
5%105 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
42%105 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
18%6,888 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
7%280 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
31%764 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
6%564 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
9%2,316 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 25% · 460 patients
Patients screened: 26% · 460 patients
91%32 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%365 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%160 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 276 patients
Patients totalRate: 8% · 296 patients
9%296 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$19.67 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier20 claims20 services$7.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims492 services$7.13 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims139 services$9.39 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier13 claims13 services$51.29 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers28 claims28 services$15.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DIABETES & ENDOCRINOLOGY ASSOCITES OF SOUTH JERSEY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2815 E CHESTNUT AVE
VINELAND, NJ 08361
Cumberland County (856) 262-4681
ANGELA CHRISTINE HATZANTONIS RD
Dietitian, Registered
2815 E CHESTNUT AVE
VINELAND, NJ 08361
Cumberland County (856) 205-1112
HASMUKHBHAI D PATEL MD
Family Medicine
2815 E CHESTNUT AVE
VINELAND, NJ 08361
Cumberland County (856) 696-9697

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 Raghuraj Tomar's NPI number?

The NPI number for Raghuraj Tomar is 1467412858. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Raghuraj Tomar located?

Raghuraj Tomar practices at 2815 E Chestnut Ave, Vineland, NJ 08361. The listed phone number is (856) 696-9697.

What is Raghuraj Tomar's specialty?

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

Is Raghuraj Tomar enrolled in Medicare?

Yes. Raghuraj Tomar 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 Raghuraj Tomar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Raghuraj Tomar 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 Raghuraj Tomar affiliated with any hospitals?

According to CMS data, Raghuraj Tomar is affiliated with Cape Regional Medical Center Inc and Inspira Medical Center Vineland.

When was this NPI record last updated?

The NPPES record for Raghuraj Tomar was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.