MICHELE JOAN TOMCZAK DO
NPI 1598760225
Family Medicine in Erie, PA

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
4500 PINE AVE, ERIE, PA 16504(814) 877-5800(814) 877-5809 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michele Joan Tomczak Do NPPES

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

MICHELE JOAN TOMCZAK DO (NPI 1598760225) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (OS008255L) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1598760225
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELE JOAN TOMCZAKCredential: DO
Location Address4500 PINE AVEErie, PA 16504-2316
Mailing Address4500 Pine AveErie, PA 16504-2316 · (814) 877-5800 · Fax (814) 877-5809
Fax(814) 877-5809
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1992
Enumeration DateJune 17, 2005
Last NPPES UpdateApril 23, 2020
NPPES CertifiedApril 23, 2020
NPI 1598760225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · OS008255L
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.

4500 PINE AVE, Erie, PA 16504

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

Michele Joan Tomczak Do 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 ID547160251
PECOS Enrollment IDI20040109000831
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.
201 services106 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.
26 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16504 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims31 services$4.92 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims98 services$1.99 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 12

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

Nurse Practitioner
4500 PINE AVE
ERIE, PA 16504
Physical Therapist (Orthopedic)
4500 PINE AVE
ERIE, PA 16504
Non-Pharmacy Dispensing Site
4500 PINE AVE
ERIE, PA 16504
Clinical Medical Laboratory
4500 PINE AVE
ERIE, PA 16504
Physical Therapist
4500 PINE AVE, SUITE A
ERIE, PA 16504
Physical Therapist
4500 PINE AVE, SUITE A
ERIE, PA 16504
Family Medicine
4500 PINE AVE
ERIE, PA 16504
Physical Therapist
4500 PINE AVE
ERIE, PA 16504

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 Michele Tomczak's NPI number?

The NPI number for Michele Tomczak is 1598760225. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Michele Tomczak located?

Michele Tomczak practices at 4500 Pine Ave, Erie, PA 16504. The listed phone number is (814) 877-5800.

What is Michele Tomczak's specialty?

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

Is Michele Tomczak enrolled in Medicare?

Yes. Michele Tomczak 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 Michele Tomczak affiliated with any hospitals?

According to CMS data, Michele Tomczak is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Michele Tomczak was last updated on April 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.