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MRS. THERESA TOMY APN
NPI 1720415185
Nurse Practitioner - Adult Health in Flemington, NJ

Active since October 01, 2013PECOS EnrolledAccepts Medicare Assignment
80.48/100
CMS Quality Rating
2100 WESCOTT DR, FLEMINGTON, NJ 08822(908) 788-6100 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Theresa Tomy Apn NPPES

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

MRS. THERESA TOMY APN (NPI 1720415185) is an individual adult health provider in Flemington, New Jersey, licensed in New Jersey (26NJ00466600) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1720415185
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. THERESA TOMYCredential: APN
Location Address2100 WESCOTT DRFlemington, NJ 08822-4603
Mailing Address27 Hendrickson DrBelle Mead, NJ 08502-4109 · (908) 788-5991
Phone(908) 788-6100
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 1, 2013
✔ NPI 1720415185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00466600
2100 WESCOTT DR, Flemington, NJ 08822
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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

Mrs. Theresa Tomy Apn 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 ID1254569759
PECOS Enrollment IDI20140108000240
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 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 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.
37 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

80.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.86
Promoting Interoperability100
Improvement Activities40
Cost52.09

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.

DR. MRUNALINI RAGHUNATH CHAVARKAR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6100
ELISABETH ANACIUS M.D.
Hospitalist
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6100
CECILIA EZUDUEMOIH
Nurse Practitioner (Psychiatric/Mental Health)
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6100
CROSS COUNTY ANESTHESIA INC
Anesthesiology
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 300-3700
DR. NORMA I. VILLANUEVA M.D.
Emergency Medicine
2100 WESCOTT DR, HUNTERDON MEDICAL CENTER
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6100
HAZEM FAHMY MD
Hospitalist
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 237-5486
MS. VICTORIA ANDREWS PA-C
Physician Assistant
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6461
HUNTERDON MEDICAL CENTER
General Acute Care Hospital
2100 WESCOTT DR
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6100

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 Theresa Tomy's NPI number?

The NPI number for Theresa Tomy is 1720415185. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Where is Theresa Tomy located?

Theresa Tomy practices at 2100 Wescott Dr, Flemington, NJ 08822. The listed phone number is (908) 788-6100.

What is Theresa Tomy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Theresa Tomy enrolled in Medicare?

Yes. Theresa Tomy 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.

Is Theresa Tomy affiliated with any hospitals?

According to CMS data, Theresa Tomy is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Tomy was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.