DR. EDMUND TOMLINSON M.D.
NPI 1841297595
Obstetrics & Gynecology in Rockville Centre, NY

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
84.14/100
CMS Quality Rating
371 MERRICK RD, SUITE 203, ROCKVILLE CENTRE, NY 11570(516) 766-7626(516) 766-0744 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edmund Tomlinson M.d. NPPES

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

DR. EDMUND TOMLINSON M.D. (NPI 1841297595) is an individual obstetrics & gynecology provider in Rockville Centre, New York, licensed in New York (172263) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Rutgers New Jersey Medical School (1984).

NPPES Registry Identity

NPI1841297595
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. EDMUND TOMLINSONCredential: M.D.
Location Address371 MERRICK RD, SUITE 203Rockville Centre, NY 11570-5359
Mailing Address371 Merrick Rd, Suite 203Rockville Centre, NY 11570-5359 · (516) 766-7626 · Fax (516) 766-0744
Fax(516) 766-0744
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1984
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 28, 2007
✔ NPI 1841297595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 172263
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
371 MERRICK RD, Rockville Centre, NY 11570

Other Identifiers 3

Medicare UPINA61951NY
Medicaid01171131NY
Medicare ID-Type Unspecified29E631NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edmund Tomlinson 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 ID4385546183
PECOS Enrollment IDI20040123000116
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edmund Tomlinson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1 S CENTRAL AVE
Valley Stream, NY 11580
  • Reassigned Medicare billing, New York enrollment
  • 25 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
68 services68 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
52 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.
21 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Other Providers at the Same Location NPPES 15

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

Physician Assistant (Medical)
371 MERRICK RD
ROCKVILLE CENTRE, NY 11570
Internal Medicine
371 MERRICK RD, SUITE 302
ROCKVILLE CENTRE, NY 11570
Internal Medicine
371 MERRICK RD, STE 302
ROCKVILLE CENTRE, NY 11570
Internal Medicine
371 MERRICK RD, STE 302
ROCKVILLE CENTRE, NY 11570
Obstetrics & Gynecology
371 MERRICK RD, SUITE 203
ROCKVILLE CENTRE, NY 11570
Obstetrics & Gynecology
371 MERRICK RD, SUITE 203
ROCKVILLE CENTRE, NY 11570
Dentist (Prosthodontics)
371 MERRICK RD, SUITE 304
ROCKVILLE CENTRE, NY 11570
Social Worker (Clinical)
371 MERRICK RD, SUITE 201
ROCKVILLE CENTRE, NY 11570

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 Edmund Tomlinson's NPI number?

The NPI number for Edmund Tomlinson is 1841297595. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Edmund Tomlinson located?

Edmund Tomlinson practices at 371 Merrick Rd Suite 203, Rockville Centre, NY 11570. The listed phone number is (516) 766-7626.

What is Edmund Tomlinson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Edmund Tomlinson enrolled in Medicare?

Yes. Edmund Tomlinson 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.

Which organizations bill Medicare for Edmund Tomlinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Tomlinson reassigns Medicare benefits to 2 organizations: South Nassau Physician Practice PC (Valley Stream, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmund Tomlinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edmund Tomlinson affiliated with any hospitals?

According to CMS data, Edmund Tomlinson is affiliated with Mount Sinai South Nassau and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Edmund Tomlinson was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.