MADILYN E TOMASO MD
NPI 1780264002
Family Medicine in Elberta, AL

Active since April 11, 2021PECOS EnrolledAccepts Medicare Assignment
24980 STATE ST, ELBERTA, AL 36530(256) 551-4631 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2024, Aug 9, 2024, Jul 16, 2024 and 1 more (4 updates tracked since 2021).

About Madilyn E Tomaso Md NPPES

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

MADILYN E TOMASO MD (NPI 1780264002) is an individual family medicine provider in Elberta, Alabama, licensed in Alabama (44943) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2021).

NPPES Registry Identity

NPI1780264002
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMADILYN E TOMASOCredential: MD
Location Address24980 STATE STElberta, AL 36530-2573
Mailing Address24980 State StElberta, AL 36530-2573 · (251) 986-7301 · Fax (251) 986-5927
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2021
Enumeration DateApril 11, 2021
Last NPPES UpdateAugust 14, 20244 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1780264002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 44943
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

24980 STATE ST, Elberta, AL 36530

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

Madilyn E Tomaso 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 ID4183168578
PECOS Enrollment IDI20240626002518
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.

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.
203 services143 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.
36 services36 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services24 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
19 services19 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
15 services14 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36530 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 11

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

Durable Medical Equipment & Medical Supplies
24980 STATE ST, STE 4
ELBERTA, AL 36530
Family Medicine
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530
Nurse Practitioner (Family)
24980 STATE ST
ELBERTA, AL 36530
Nurse Practitioner (Family)
24980 STATE ST
ELBERTA, AL 36530
Family Medicine
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530
Nurse Practitioner (Adult Health)
24980 STATE ST
ELBERTA, AL 36530
Nurse Practitioner (Family)
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530
Family Medicine
24980 STATE ST, PO DRAWER 519
ELBERTA, AL 36530

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 Madilyn Tomaso's NPI number?

The NPI number for Madilyn Tomaso is 1780264002. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Madilyn Tomaso located?

Madilyn Tomaso practices at 24980 State St, Elberta, AL 36530. The listed phone number is (256) 551-4631.

What is Madilyn Tomaso's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Madilyn Tomaso enrolled in Medicare?

Yes. Madilyn Tomaso 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 Madilyn Tomaso accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Madilyn Tomaso 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 Madilyn Tomaso was last updated on August 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.