MARIA J TOMCZYK MD
NPI 1497710040
Family Medicine in Cleveland, TN

Active since April 18, 2006PECOS Enrolled
1060 WILLIAM WAY NW, CLEVELAND, TN 37312(423) 478-1050(423) 478-1075 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria J Tomczyk Md NPPES

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

MARIA J TOMCZYK MD (NPI 1497710040) is an individual family medicine provider in Cleveland, Tennessee, licensed in Tennessee (MD29153) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497710040
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIA J TOMCZYKCredential: MD
Location Address1060 WILLIAM WAY NWCleveland, TN 37312-4369
Mailing Address165 Covington Dr NeCleveland, TN 37312-4792 · (423) 478-1050 · Fax (423) 478-1075
Fax(423) 478-1075
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateMarch 22, 2011
✔ NPI 1497710040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD29153
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1060 WILLIAM WAY NW, Cleveland, TN 37312

Other Identifiers 3

Medicare ID-Type Unspecified3814352TN
Medicare UPING56108TN
Medicaid3814352TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria J Tomczyk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Tomczyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
1060 WILLIAM WAY NW
Cleveland, TN 37312
  • Reassigned Medicare billing, Tennessee enrollment
  • 15 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37312 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES 11

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

Internal Medicine
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Internal Medicine
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Family Medicine
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Family Medicine
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Internal Medicine
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Physician Assistant
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Chiropractor (Orthopedic)
1060 WILLIAM WAY NW
CLEVELAND, TN 37312
Nurse Practitioner (Family)
1060 WILLIAM WAY NW
CLEVELAND, TN 37312

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 Maria Tomczyk's NPI number?

The NPI number for Maria Tomczyk is 1497710040. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Maria Tomczyk located?

Maria Tomczyk practices at 1060 William Way NW, Cleveland, TN 37312. The listed phone number is (423) 478-1050.

What is Maria Tomczyk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maria Tomczyk enrolled in Medicare?

Yes. Maria Tomczyk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Tomczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Tomczyk reassigns Medicare benefits to Cleveland Medical Associates, PLLC (Cleveland, TN). The 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 Maria Tomczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Tomczyk accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Maria Tomczyk 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 Maria Tomczyk was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.