SHIMON TOBOLSKY MPAS, RPA-C
NPI 1477555779
Physician Assistant in Albany, NY

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
1365 WASHINGTON AVE, STE 300, ALBANY, NY 12206(518) 489-4704(518) 489-0512 Get Directions Write a Review

NPPES record last updated: January 4, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shimon Tobolsky Mpas, Rpa-c NPPES

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

SHIMON TOBOLSKY MPAS, RPA-C (NPI 1477555779) is an individual physician assistant in Albany, New York, licensed in New York (006470) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1477555779
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHIMON TOBOLSKYCredential: MPAS, RPA-C
Location Address1365 WASHINGTON AVE, STE 300Albany, NY 12206-1098
Mailing Address1365 Washington Ave, Ste 300Albany, NY 12206-1098 · (518) 489-4704 · Fax (518) 489-0512
Fax(518) 489-0512
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 4, 2010
NPI 1477555779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 006470
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1365 WASHINGTON AVE, Albany, NY 12206

Other Identifiers 2

Medicare UPINS85135
Medicare ID-Type UnspecifiedPA0046

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

Shimon Tobolsky Mpas, Rpa-c 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 ID5496656704
PECOS Enrollment IDI20040120000194
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 5

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
484 services313 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.
87 services86 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
71 services70 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
12 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12206 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Referred Medical Equipment & Supplies CMS DME claims 6

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

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims13 services$170.29 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers98 claims368 services$6.45 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers16 claims16 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers44 claims84 services$1.07 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers19 claims19 services$309.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
12 suppliers100 claims102 services$180.94 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 20

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

Registered Nurse (Diabetes Educator)
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Registered Nurse (Diabetes Educator)
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Physician Assistant
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Obstetrics & Gynecology
1365 WASHINGTON AVE, SUITE 201
ALBANY, NY 12206
Physical Therapist
1365 WASHINGTON AVE
ALBANY, NY 12206
Physician Assistant
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Obstetrics & Gynecology
1365 WASHINGTON AVE, SUITE 201
ALBANY, NY 12206
Clinic/Center (Multi-Specialty)
1365 WASHINGTON AVE
ALBANY, NY 12206

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 Shimon Tobolsky's NPI number?

The NPI number for Shimon Tobolsky is 1477555779. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Shimon Tobolsky located?

Shimon Tobolsky practices at 1365 Washington Ave Ste 300, Albany, NY 12206. The listed phone number is (518) 489-4704.

What is Shimon Tobolsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shimon Tobolsky enrolled in Medicare?

Yes. Shimon Tobolsky 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.

Is Shimon Tobolsky affiliated with any hospitals?

According to CMS data, Shimon Tobolsky is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Shimon Tobolsky was last updated on January 4, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.