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THOMAS E TOMCZAK JR. MD
NPI 1780607853
Emergency Medicine in West Branch, MI

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
2431 S. M-30, WEST BRANCH, MI 48661(989) 894-3278(989) 891-8155 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas E Tomczak Jr. Md NPPES

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

THOMAS E TOMCZAK JR. MD (NPI 1780607853) is an individual emergency medicine provider in West Branch, Michigan, licensed in Michigan (4704213286) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1780607853
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS E TOMCZAK JR.Credential: MD
Location Address2431 S. M-30West Branch, MI 48661-9312
Mailing Address401 S. Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1591
Phone(989) 894-3278
Fax(989) 891-8155
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 25, 2012
✔ NPI 1780607853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 4704213286
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704213286 (MI)
2431 S. M-30, West Branch, MI 48661
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Other Identifiers 4

Medicare UPINQ29603MI
Medicaid4891491MI
Medicare PINN85240009MI
Medicare PINP02220003MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Thomas E Tomczak Jr. 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 ID345205381
PECOS Enrollment IDI20041201000465
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 4

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 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.
44 services39 patients
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.
30 services25 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.
24 services23 patients
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.
20 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Saint Mary's Standish Community Hospital

Critical Access Hospitals · Standish, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231305
Location805 W Cedar StStandish, MI 48658 · Arenac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48661 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

MARK A SIERRA MD
Internal Medicine (Cardiovascular Disease)
2431 S. M-30
WEST BRANCH, MI 48661
Ogemaw County (989) 343-3264

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 Tomczak's NPI number?

The NPI number for Thomas Tomczak is 1780607853. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Thomas Tomczak located?

Thomas Tomczak practices at 2431 S. M-30, West Branch, MI 48661. The listed phone number is (989) 894-3278.

What is Thomas Tomczak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Tomczak enrolled in Medicare?

Yes. Thomas Tomczak 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 Tomczak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thomas Tomczak 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 Thomas Tomczak affiliated with any hospitals?

According to CMS data, Thomas Tomczak is affiliated with Mclaren Bay Region, Mclaren Central Michigan, Mymichigan Medical Center West Branch, Tawas St Joseph Hospital and Saint Mary's Standish Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Tomczak was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.