WADIE TOMA MD
NPI 1821163437
Internal Medicine - Rheumatology in Old Bridge, NJ

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
91.84/100
CMS Quality Rating
3 HOSPITAL PLZ, SUITE 409, OLD BRIDGE, NJ 08857(732) 869-1002(732) 869-1012 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wadie Toma Md NPPES

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

WADIE TOMA MD (NPI 1821163437) is an individual rheumatology provider in Old Bridge, New Jersey, licensed in New Jersey (MA59515) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1821163437
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameWADIE TOMACredential: MD
Location Address3 HOSPITAL PLZ, SUITE 409Old Bridge, NJ 08857-3093
Mailing AddressPo Box 366Monmouth Junction, NJ 08852-0366 · (732) 869-1002 · Fax (732) 869-1012
Fax(732) 869-1012
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 21, 2006
Last NPPES UpdateMay 4, 2022
NPPES CertifiedMay 4, 2022
NPI 1821163437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NJ · MA59515
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3 HOSPITAL PLZ, Old Bridge, NJ 08857

Other Identifiers 1

Medicaid8213402NJ

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

Wadie Toma 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 ID9638165079
PECOS Enrollment IDI20040422001261
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 14

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
85,201 services25 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
15,051 services20 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
9,540 services94 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
8,540 services15 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.
1,610 services786 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.
1,197 services538 patients

Hospital Affiliations CMS Care Compare 3

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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.

91.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.61
Promoting Interoperability90
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%10,042 patients5/55-star benchmark: 100%
e-Prescribing
91%4,969 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
79%1,585 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%4,088 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
77%4,084 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%3,783 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 3,051 patients
Patients screened: 94% · 3,051 patients
0%270 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%2,015 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
90%2,359 patients4/55-star benchmark: 97%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients totalRate: 0% · 1,585 patients
0%1,585 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Clinic/Center (Primary Care)
3 HOSPITAL PLZ, SUITE 409
OLD BRIDGE, NJ 08857
Specialist
3 HOSPITAL PLZ, SUITE 208
OLD BRIDGE, NJ 08857
Internal Medicine
3 HOSPITAL PLZ, SUITE 315
OLD BRIDGE, NJ 08857
Nurse Practitioner (Acute Care)
3 HOSPITAL PLZ
OLD BRIDGE, NJ 08857
Clinic/Center (Pain)
3 HOSPITAL PLZ, STE 309
OLD BRIDGE, NJ 08857
Specialist
3 HOSPITAL PLZ, SUITE 309
OLD BRIDGE, NJ 08857
Podiatrist (Foot & Ankle Surgery)
3 HOSPITAL PLZ, STE 314
OLD BRIDGE, NJ 08857
Specialist
3 HOSPITAL PLZ, SUITE 200
OLD BRIDGE, NJ 08857

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 Wadie Toma's NPI number?

The NPI number for Wadie Toma is 1821163437. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Wadie Toma located?

Wadie Toma practices at 3 Hospital Plz Suite 409, Old Bridge, NJ 08857. The listed phone number is (732) 869-1002.

What is Wadie Toma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Wadie Toma enrolled in Medicare?

Yes. Wadie Toma 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 Wadie Toma accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Wadie Toma 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 Wadie Toma affiliated with any hospitals?

According to CMS data, Wadie Toma is affiliated with Riverview Medical Center, Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Wadie Toma was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.