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DR. THOMAS DANIEL PAHOLAK DPM
NPI 1710934955
Podiatrist in Huntington Woods, MI

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
97.26/100
CMS Quality Rating
12786 LASALLE LN, HUNTINGTON WOODS, MI 48070(248) 572-3900(248) 572-1277 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2020, Jan 26, 2017 (2 updates tracked since 2017).

About Dr. Thomas Daniel Paholak Dpm NPPES

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

DR. THOMAS DANIEL PAHOLAK DPM (NPI 1710934955) is an individual podiatrist in Huntington Woods, Michigan, licensed in Michigan (5901001714) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1710934955
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. THOMAS DANIEL PAHOLAKCredential: DPM
Location Address12786 LASALLE LNHuntington Woods, MI 48070-1020
Mailing Address6374 N Lincoln Ave Ste 303Chicago, IL 60659-1283 · (773) 866-9800 · Fax (773) 866-1733
Phone(248) 572-3900
Fax(248) 572-1277
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 30, 2006
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1710934955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in MI · 5901001714✔ Licensed in IL · 016004340
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 016-004340 (IL)
12786 LASALLE LN, Huntington Woods, MI 48070
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Secondary Practice Location 1

Location 16374 N Lincoln Ave Ste 303Chicago, IL 60659-1283 · Phone (773) 866-9800 · Fax (773) 866-1733

Other Identifiers 4

Other0001623503IL · Bcbs
Other016-004340IL · Il State License
Medicaid016-004340IL
Other480027688IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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

Dr. Thomas Daniel Paholak Dpm 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 ID4880603141
PECOS Enrollment IDI20101110000685, I20181030001913
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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
598 services259 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
461 services460 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
310 services94 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
204 services68 patients
Removal of blood accumulation under fingernail or toenail 11740
This procedure involves relieving pressure from a blood buildup under a nail, often due to injury. A small hole is made in the nail to drain the blood and reduce pain. The process is quick and usually painless with local anesthesia.
105 services105 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
94 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48070 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

97.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%44 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
55%3,990 patients2/55-star benchmark: 100%
e-Prescribing
100%163 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%1,322 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 70% · 319 patients
70%319 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers34 claims68 services$59.53 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier33 claims192 services$24.84 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

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

MOBILE PODIATRY SERVICES, PC
Podiatrist (Foot Surgery)
12786 LASALLE LN
HUNTINGTON WOODS, MI 48070
Oakland County (773) 263-8540

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 Thomas Paholak's NPI number?

The NPI number for Thomas Paholak is 1710934955. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Thomas Paholak located?

Thomas Paholak practices at 12786 Lasalle Ln, Huntington Woods, MI 48070. The listed phone number is (248) 572-3900.

What is Thomas Paholak's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Thomas Paholak enrolled in Medicare?

Yes. Thomas Paholak 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.

What insurance does Thomas Paholak accept?

Health plans from Priority Health list Thomas Paholak 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 Thomas Paholak was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.