SONJA TOMIC M.D.
NPI 1619954666
Pathology - Anatomic Pathology & Clinical Pathology in Rockport, ME

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
6 GLEN COVE DR, ROCKPORT, ME 04856(207) 596-8735 Get Directions Write a Review

NPPES record last updated: July 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sonja Tomic M.d. NPPES

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

SONJA TOMIC M.D. (NPI 1619954666) is an individual anatomic pathology & clinical pathology provider in Rockport, Maine, licensed in Maine (015683) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1619954666
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameSONJA TOMICCredential: M.D.
Location Address6 GLEN COVE DRRockport, ME 04856-4240
Mailing Address324 Gannett Dr Ste 200South Portland, ME 04106 · (207) 482-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 12, 2017
✔ NPI 1619954666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in ME · 015683
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6 GLEN COVE DR, Rockport, ME 04856

Other Identifiers 1

Medicare UPINF88315

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

Sonja Tomic 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.

PECOS PAC ID9830163674
PECOS Enrollment IDI20040825001542, I20230313001127
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 Sonja Tomic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Diagnostic Radiology
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, New Hampshire and Maine enrollments
  • Also billed through NPI 1386757607 (Maine)
  • 80 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.

Areas of Expertise CMS Part B claims 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,227 services671 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
179 services38 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
94 services86 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
80 services70 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
68 services65 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
51 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

Internal Medicine (Pulmonary Disease)
6 GLEN COVE DR
ROCKPORT, ME 04856
Emergency Medicine
6 GLEN COVE DR
ROCKPORT, ME 04856
Registered Nurse
6 GLEN COVE DR
ROCKPORT, ME 04856
Nurse Anesthetist, Certified Registered
6 GLEN COVE DR
ROCKPORT, ME 04856
Radiology (Diagnostic Radiology)
6 GLEN COVE DR
ROCKPORT, ME 04856
Dietitian, Registered
6 GLEN COVE DR, PEN BAY MEDICAL CENTER
ROCKPORT, ME 04856
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856

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 Sonja Tomic's NPI number?

The NPI number for Sonja Tomic is 1619954666. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Sonja Tomic located?

Sonja Tomic practices at 6 Glen Cove Dr, Rockport, ME 04856. The listed phone number is (207) 596-8735.

What is Sonja Tomic's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Sonja Tomic enrolled in Medicare?

Yes. Sonja Tomic 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 organization bills Medicare for Sonja Tomic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sonja Tomic reassigns Medicare benefits to Spectrum Healthcare Partners, PA (Bangor, ME). 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 Sonja Tomic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sonja Tomic accept?

Health plans from Taro Health list Sonja Tomic 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 Sonja Tomic affiliated with any hospitals?

According to CMS data, Sonja Tomic is affiliated with Maine Medical Center, Mid Coast Hospital, Penobscot Bay Medical Center, Waldo County General Hospital and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Sonja Tomic was last updated on July 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.