MICHAEL TOM MD
NPI 1699216663
Emergency Medicine in Philadelphia, PA
About Michael Tom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL TOM MD (NPI 1699216663) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD466978) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Michael Tom Md 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.
Medicare Billing Reassignments
9Medicare enrollment records show Michael Tom reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 241 clinicians in this Medicare group
Hanover, PA 17331
- Reassigned Medicare billing, Pennsylvania enrollment
- 298 clinicians in this Medicare group
Issaquah, WA 98029
- Reassigned Medicare billing, Washington enrollment
- 101 clinicians in this Medicare group
Arlington, WA 98223
- Reassigned Medicare billing, Washington enrollment
- 519 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 663 clinicians in this Medicare group
Federal Way, WA 98003
- Reassigned Medicare billing, Washington enrollment
- 190 clinicians in this Medicare group
Tacoma, WA 98405
- Reassigned Medicare billing, Washington enrollment
- 1,526 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAAbington Memorial Hospital
Acute Care Hospitals · Abington, PASt Joseph Medical Center
Acute Care Hospitals · Tacoma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Michael Tom's NPI number?
The NPI number for Michael Tom is 1699216663. It was assigned to this individual provider in the NPPES registry on March 10, 2017.
Where is Michael Tom located?
Michael Tom practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-6698.
What is Michael Tom's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Tom enrolled in Medicare?
Yes. Michael Tom 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 organizations bill Medicare for Michael Tom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Tom reassigns Medicare benefits to 9 organizations: University Of Penn-Medical Group (Philadelphia, PA), Jefferson University Physicians (Philadelphia, PA), Jefferson Acute Care Physicians, PC (Philadelphia, PA), Emergency Physician Associates Of Pennsylvania, PC (Hanover, PA), Eastside Emergency Physicians PLLC (Issaquah, WA) and 4 more organizations, listed in the Medicare section above. Each 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 Michael Tom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Tom accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Michael Tom 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 Michael Tom affiliated with any hospitals?
According to CMS data, Michael Tom is affiliated with Thomas Jefferson University Hospital, Abington Memorial Hospital and St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Tom was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Michael Tom, MD · NPI 1699216663
Emergency Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 10, 2017.
## Identity
- **NPI:** 1699216663 (Entity type: Individual)
- **Enumerated:** March 10, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD466978 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4238
- **Phone:** (215) 662-6698 · **Fax:** (215) 662-3953
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA); Jefferson University Physicians (NPI 1326093675, Philadelphia, PA); Jefferson Acute Care Physicians, PC (NPI 1730571324, Philadelphia, PA); Emergency Physician Associates Of Pennsylvania, PC (NPI 1619990900, Hanover, PA); Eastside Emergency Physicians PLLC (NPI 1689683229, Issaquah, WA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1699216663) · Data from the CMS NPPES public registry.