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SAMER TOHME M.D.
NPI 1679894208
Surgery in Pittsburgh, PA

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3471 FIFTH AVENUE, SUITE 300, PITTSBURGH, PA 15213(412) 692-2001(412) 692-2002 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 1, 2023, Mar 25, 2021 (2 updates tracked since 2021).

About Samer Tohme M.d. NPPES

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

SAMER TOHME M.D. (NPI 1679894208) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT197345) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679894208
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSAMER TOHMECredential: M.D.
Location Address3471 FIFTH AVENUE, SUITE 300Pittsburgh, PA 15213
Mailing Address3471 Fifth Avenue, Suite 300Pittsburgh, PA 15213 · (412) 692-2001 · Fax (412) 692-2002
Phone(412) 692-2001
Fax(412) 692-2002
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 17, 2010
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1679894208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT197345
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3471 FIFTH AVENUE, SUITE 300, Pittsburgh, PA 15213
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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

Samer Tohme 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 ID5890117527
PECOS Enrollment IDI20200625000156
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 Samer Tohme reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Pittsburgh Physicians
Same address
Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1548433527 (412) 682-2434

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 3

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 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.
40 services27 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.
40 services29 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES

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

JEAN-SEBASTIEN PELLETIER M.D.
Student in an Organized Health Care Education/Training Program
3471 FIFTH AVENUE, SUITE 300, UPMC LIVER CANCER CENTER
PITTSBURGH, PA 15213
Allegheny County (412) 692-2074

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 Samer Tohme's NPI number?

The NPI number for Samer Tohme is 1679894208. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Samer Tohme located?

Samer Tohme practices at 3471 Fifth Avenue, Suite 300, Pittsburgh, PA 15213. The listed phone number is (412) 692-2001.

What is Samer Tohme's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Samer Tohme enrolled in Medicare?

Yes. Samer Tohme 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 Samer Tohme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samer Tohme reassigns Medicare benefits to University Of Pittsburgh Physicians (Pittsburgh, PA). 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 Samer Tohme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samer Tohme affiliated with any hospitals?

According to CMS data, Samer Tohme is affiliated with Upmc Mckeesport Hospital, Upmc Passavant, Magee Womens Hospital Of Upmc Health System, Upmc Bedford Memorial and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Samer Tohme was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.