MICHELLE A TOMLINSON-PHELAN DO
NPI 1801859517
Family Medicine in East Brunswick, NJ

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
754 STATE ROUTE 18, SUITE 107, EAST BRUNSWICK, NJ 08816(732) 257-1171(732) 257-2618 Get Directions Write a Review

NPPES record last updated: August 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle A Tomlinson-phelan Do NPPES

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

MICHELLE A TOMLINSON-PHELAN DO (NPI 1801859517) is an individual family medicine provider in East Brunswick, New Jersey, licensed in New Jersey (MB05206100) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Rowan University School Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1801859517
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE A TOMLINSON-PHELANCredential: DO
Location Address754 STATE ROUTE 18, SUITE 107East Brunswick, NJ 08816-4909
Mailing Address754 Highway 18, Suite 107East Brunswick, NJ 08816-4909 · (732) 257-1171 · Fax (732) 257-2618
Fax(732) 257-2618
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1987
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 27, 2007
NPI 1801859517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · MB05206100
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.
754 STATE ROUTE 18, East Brunswick, NJ 08816

Other Identifiers 3

Medicare UPINE56734NJ
Medicaid1225103NJ
Medicare PIN626855NJ

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

Michelle A Tomlinson-phelan Do 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 ID2668572090
PECOS Enrollment IDI20070811000109
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 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.
109 services41 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
38 services24 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.
21 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers24 claims24 services$204.33 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 3

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

Nurse Practitioner (Family)
754 STATE ROUTE 18, SUITE 107
EAST BRUNSWICK, NJ 08816
Family Medicine
754 STATE ROUTE 18, SUITE 107
EAST BRUNSWICK, NJ 08816
Family Medicine
754 STATE ROUTE 18, SUITE 107
EAST BRUNSWICK, NJ 08816

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 Michelle Tomlinson-phelan's NPI number?

The NPI number for Michelle Tomlinson-phelan is 1801859517. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Michelle Tomlinson-phelan located?

Michelle Tomlinson-phelan practices at 754 State Route 18 Suite 107, East Brunswick, NJ 08816. The listed phone number is (732) 257-1171.

What is Michelle Tomlinson-phelan's specialty?

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

Is Michelle Tomlinson-phelan enrolled in Medicare?

Yes. Michelle Tomlinson-phelan 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.

When was this NPI record last updated?

The NPPES record for Michelle Tomlinson-phelan was last updated on August 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.