JOHN J. TOMCHO DO
NPI 1841248770
Family Medicine in Charlotte, NC

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
2630 E 7TH ST, CHARLOTTE, NC 28204(704) 355-9484 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 56 more (59 updates tracked since 2018).

About John J. Tomcho Do NPPES

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

JOHN J. TOMCHO DO (NPI 1841248770) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (200400608) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1841248770
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN J. TOMCHOCredential: DO
Location Address2630 E 7TH STCharlotte, NC 28204-4318
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 15, 202459 updates tracked since enumeration
NPI 1841248770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 200400608
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.
2630 E 7TH ST, Charlotte, NC 28204

Secondary Practice Locations 3

Location 12550 Court Dr, Ste 202Gastonia, NC 28054-2152 · Phone (704) 446-8100
Location 21090 Vinehaven Dr NEConcord, NC 28025-2438 · Phone (704) 403-7580
Location 310660 Park Rd, Ste 4400Charlotte, NC 28210-8413 · Phone (704) 667-2681

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

John J. Tomcho 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 ID6709962665
PECOS Enrollment IDI20080318000814
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.
46 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services36 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.
22 services11 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
2630 E 7TH ST, SUITE 101
CHARLOTTE, NC 28204
Physical Therapist
2630 E 7TH ST, STE 206
CHARLOTTE, NC 28204
Family Medicine (Obesity Medicine)
2630 E 7TH ST
CHARLOTTE, NC 28204
Pediatrics
2630 E 7TH ST
CHARLOTTE, NC 28204
Family Medicine (Obesity Medicine)
2630 E 7TH ST
CHARLOTTE, NC 28204
Dietitian, Registered
2630 E 7TH ST, STE 100
CHARLOTTE, NC 28204
Dietitian, Registered (Nutrition, Obesity and Weight Management)
2630 E 7TH ST
CHARLOTTE, NC 28204
Physical Therapist
2630 E 7TH ST, SUITE 206
CHARLOTTE, NC 28204

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 John Tomcho's NPI number?

The NPI number for John Tomcho is 1841248770. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is John Tomcho located?

John Tomcho practices at 2630 E 7th St, Charlotte, NC 28204. The listed phone number is (704) 355-9484.

What is John Tomcho's specialty?

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

Is John Tomcho enrolled in Medicare?

Yes. John Tomcho 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 John Tomcho accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list John Tomcho 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 John Tomcho affiliated with any hospitals?

According to CMS data, John Tomcho is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for John Tomcho was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.