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CRISTAL DENISE TOMBLIN M.D.
NPI 1851508097
Family Medicine in Lorain, OH

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
3700 KOLBE RD, LORAIN, OH 44053(440) 960-3985(440) 960-4277 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 19, 2022, Dec 16, 2021 (2 updates tracked since 2021).

About Cristal Denise Tomblin M.d. NPPES

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

CRISTAL DENISE TOMBLIN M.D. (NPI 1851508097) is an individual family medicine provider in Lorain, Ohio, licensed in Ohio (35.086918) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of Wright State University Boonshoft School Of Medicine (2000).

NPPES Registry Identity

NPI1851508097
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCRISTAL DENISE TOMBLINCredential: M.D.
Location Address3700 KOLBE RDLorain, OH 44053-1611
Mailing Address3700 Kolbe RdLorain, OH 44053-1611 · (440) 960-3985 · Fax (440) 960-4277
Phone(440) 960-3985
Fax(440) 960-4277
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2000
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1851508097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.086918
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.
3700 KOLBE RD, Lorain, OH 44053
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Other Identifiers 1

Medicaid2499907OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Cristal Denise Tomblin 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 ID3274507371
PECOS Enrollment IDI20070731000005
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 Cristal Tomblin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Lorain, LLC
Same address
Family Medicine
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1023347192 (440) 988-1009
Mercy Health Physicians Lorain Specialty Care LLC
Same address
Surgery
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 227 clinicians in this Medicare group
NPI 1972126381 (440) 988-1009

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

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 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.
48 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

MADISON PALMER
Physical Therapy Assistant
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-4000
MS. SUZANNE R JENKINS PT
Physical Therapist
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3950
MR. DAVID M ILIANO PA-C
Physician Assistant
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-4624
COURTNEY PEARL ADELMAN PA-C
Physician Assistant (Medical)
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-4000
MS. KATHLEEN A FERGUSON PT
Physical Therapist
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3950
MS. BARBARA A HENDERSHOT PT
Physical Therapist
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3950
MERCY HEALTH PHYSICIANS LORAIN, LLC
Family Medicine
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 988-1009
TAYLOR ANDERSON RN
Registered Nurse (General Practice)
3700 KOLBE RD
LORAIN, OH 44053
Lorain County (440) 960-3054

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 Cristal Tomblin's NPI number?

The NPI number for Cristal Tomblin is 1851508097. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Cristal Tomblin located?

Cristal Tomblin practices at 3700 Kolbe Rd, Lorain, OH 44053. The listed phone number is (440) 960-3985.

What is Cristal Tomblin's specialty?

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

Is Cristal Tomblin enrolled in Medicare?

Yes. Cristal Tomblin 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 Cristal Tomblin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cristal Tomblin reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Lorain, LLC (Lorain, OH) and Mercy Health Physicians Lorain Specialty Care LLC (Lorain, OH). 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 Cristal Tomblin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cristal Tomblin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 4 other insurers list Cristal Tomblin 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 Cristal Tomblin affiliated with any hospitals?

According to CMS data, Cristal Tomblin is affiliated with Mercy Regional Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Cristal Tomblin was last updated on January 19, 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.