DR. KATHLEEN CLARE TOOMEY MD
NPI 1720087752
Internal Medicine - Hematology & Oncology in Somerville, NJ

Active since July 20, 2005PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
30 REHILL AVE, SUITE 2500, SOMERVILLE, NJ 08876(908) 927-8700(908) 927-8706 Get Directions Write a Review

NPPES record last updated: July 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen Clare Toomey Md NPPES

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

DR. KATHLEEN CLARE TOOMEY MD (NPI 1720087752) is an individual hematology & oncology provider in Somerville, New Jersey, licensed in New Jersey (MA038214) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1720087752
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KATHLEEN CLARE TOOMEYCredential: MD
Location Address30 REHILL AVE, SUITE 2500Somerville, NJ 08876-2500
Mailing AddressJ2 Brier Hill Ct, Suite 2500East Brunswick, NJ 08816-3340 · (732) 390-7750 · Fax (732) 390-4628
Fax(908) 927-8706
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 20, 2005
Last NPPES UpdateJuly 29, 2016
NPI 1720087752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NJ · MA038214
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
30 REHILL AVE, Somerville, NJ 08876

Other Identifiers 3

Medicaid0991406NJ
Medicare ID-Type Unspecified196299BTVNJ
Medicare UPINC62904NJ

Accepted 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. Kathleen Clare Toomey 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.

PECOS PAC ID4284621400
PECOS Enrollment IDI20040429000355
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 8

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.
806 services371 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
192 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
110 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services54 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.
104 services74 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
51 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
3 suppliers29 claims104 services$30.09 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
3 suppliers16 claims18 services$256.95 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 15

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

Internal Medicine (Hematology & Oncology)
30 REHILL AVE, SUITE 2500
SOMERVILLE, NJ 08876
Internal Medicine (Hematology & Oncology)
30 REHILL AVE, SUITE 2500
SOMERVILLE, NJ 08876
Surgery
30 REHILL AVE, SUITE 3300
SOMERVILLE, NJ 08876
Nurse Practitioner (Family)
30 REHILL AVE
SOMERVILLE, NJ 08876
Surgery (Vascular Surgery)
30 REHILL AVE, SUITE 3400
SOMERVILLE, NJ 08876
Radiology (Radiation Oncology)
30 REHILL AVE
SOMERVILLE, NJ 08876
Surgery
30 REHILL AVE, SUITE 3300
SOMERVILLE, NJ 08876
Surgery
30 REHILL AVE, SUITE 3300
SOMERVILLE, NJ 08876

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 Kathleen Toomey's NPI number?

The NPI number for Kathleen Toomey is 1720087752. It was assigned to this individual provider in the NPPES registry on July 20, 2005.

Where is Kathleen Toomey located?

Kathleen Toomey practices at 30 Rehill Ave Suite 2500, Somerville, NJ 08876. The listed phone number is (908) 927-8700.

What is Kathleen Toomey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kathleen Toomey enrolled in Medicare?

Yes. Kathleen Toomey 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 Kathleen Toomey accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kathleen Toomey 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 Kathleen Toomey affiliated with any hospitals?

According to CMS data, Kathleen Toomey is affiliated with Hunterdon Medical Center, Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital - Somerset, Overlook Medical Center and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Kathleen Toomey was last updated on July 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.