TOM GAROFALO M.D.
NPI 1790742013
Colon & Rectal Surgery in Cleveland, OH

Q: What is Tom Garofalo's NPI number?

The NPI number for Tom Garofalo is 1790742013. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Tom Garofalo's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Tom Garofalo was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment

9500 EUCLID AVE, CLEVELAND, OH 44195(800) 223-2273 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tom Garofalo M.d. NPPES

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

TOM GAROFALO M.D. (NPI 1790742013) is an individual colon & rectal surgery provider in Cleveland, Ohio, licensed in Ohio (35070941) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and is a graduate of University Of Pittsburgh School Of Medicine (1992).

NPPES Registry Identity

NPI1790742013

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameTOM GAROFALOCredential: M.D.

Location Address9500 EUCLID AVECleveland, OH 44195-0001

Mailing Address6000 W Creek RdIndependence, OH 44131-2139 · (800) 223-2273

Phone(800) 223-2273

Sole ProprietorNo

Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1992

Enumeration DateApril 28, 2006

Last NPPES UpdateJune 13, 2011

✔ NPI 1790742013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in OH · 35070941

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

9500 EUCLID AVE, Cleveland, OH 44195

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Other Identifiers 3

Medicare PINGA7351101OH

Medicare UPINH63372OH

Medicaid2598345OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Corporation of Ohio.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

Tom Garofalo M.d. 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 ID8325030653

PECOS Enrollment IDI20050919000263

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 16

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.

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

79 services71 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

53 services52 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.

52 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 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.

48 services47 patients

36 services36 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

25 services25 patients

Biopsy of large bowel using a flexible endoscope 45380

23 services23 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

22 services22 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

20 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 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.

15 services15 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.

12 services12 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

12 services12 patients

Partial removal of large bowel and reattachment to rectum using an endoscope 44207

This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.

11 services11 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360230

Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

5 suppliers21 claims590 services$4.82 avg. paid by Medicare

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394

DME-Orthotic Devices · category DF010N

4 suppliers17 claims432 services$2.41 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414

DME-Orthotic Devices · category DF010N

3 suppliers11 claims335 services$4.45 avg. paid by Medicare

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

4 suppliers15 claims990 services$0.21 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

5 suppliers13 claims655 services$0.20 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 20

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

MS. MARY COLLEEN RATH R.D., L.D., CNSC

Dietitian, Registered

9500 EUCLID AVE, M17
CLEVELAND, OH 44195

Cuyahoga County (216) 444-6986

DR. CHRISTOPHER F TENGGARDJAJA M.D.

Urology (Urogynecology and Reconstructive Pelvic Surgery)

9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5600

DR. MASATO FUJIKI M.D., PH.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (216) 444-8007

KRISTIN R JOHNSON CNP

Nurse Practitioner

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MONICA LYNN SHEIN CRNA

Nurse Anesthetist, Certified Registered

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (800) 223-2273

MRS. TONYA RENEE GOINGS ACNP-BC

Nurse Practitioner (Acute Care)

9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195

Cuyahoga County (216) 444-2200

MS. DANA ANNE RUBIS CNP

Nurse Practitioner (Critical Care Medicine)

9500 EUCLID AVE, G58
CLEVELAND, OH 44195

Cuyahoga County (216) 444-5086

DR. RACHAEL C SULLIVAN M.D.

Surgery

9500 EUCLID AVE
CLEVELAND, OH 44195

Cuyahoga County (440) 449-1101

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 Tom Garofalo's NPI number?

The NPI number for Tom Garofalo is 1790742013. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Tom Garofalo located?

Tom Garofalo practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (800) 223-2273.

What is Tom Garofalo's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Tom Garofalo enrolled in Medicare?

Yes. Tom Garofalo 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 Tom Garofalo accept?

Health plans from Oscar Insurance Corporation of Ohio list Tom Garofalo 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 Tom Garofalo affiliated with any hospitals?

According to CMS data, Tom Garofalo is affiliated with Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Tom Garofalo was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.