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DR. DANIELLE TOMKO DO
NPI 1922536531
Family Medicine in Mesquite, TX

Active since May 25, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2022, Sep 24, 2020, May 25, 2017 (3 updates tracked since 2017).

About Dr. Danielle Tomko Do NPPES

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

DR. DANIELLE TOMKO DO (NPI 1922536531) is an individual family medicine provider in Mesquite, Texas, licensed in Texas (BP10061109) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2017).

NPPES Registry Identity

NPI1922536531
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIELLE TOMKOCredential: DO
Location Address1575 I 30Mesquite, TX 75150-6905
Mailing Address1575 I 30Mesquite, TX 75150-6905
Phone(469) 800-2800
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2017
Enumeration DateMay 25, 2017
Last NPPES UpdateNovember 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1922536531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · BP10061109
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.
1575 I 30, Mesquite, TX 75150
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. Danielle Tomko 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 ID3779852884
PECOS Enrollment IDI20201112001968
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 6

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.
225 services91 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.
129 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 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.
29 services29 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450742
Location6800 Scenic DrRowlett, TX 75088 · Dallas County
Emergency services Birthing friendly

Baylor Scott And White Medical Center Sunnyvale

Acute Care Hospitals · Sunnyvale, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number670060
Location231 South Collins RoadSunnyvale, TX 75182 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75150 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 11

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

DR. VALERIE A PETERSON M.D.
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
DR. CHRISTOPHER P KAMPAS M.D.
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
KEREN SEYUM
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
DR. SONIA KAKKAR D.O.
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
PETER D CAO MD
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
DR. LANCE J MILLER D.O.
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
DR. OBIANAJU NICOLE IKEGBUNAM MD
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800
EVA M MACKEY M.D.
Family Medicine
1575 I 30
MESQUITE, TX 75150
Dallas County (469) 800-2800

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 Danielle Tomko's NPI number?

The NPI number for Danielle Tomko is 1922536531. It was assigned to this individual provider in the NPPES registry on May 25, 2017.

Where is Danielle Tomko located?

Danielle Tomko practices at 1575 I 30, Mesquite, TX 75150. The listed phone number is (469) 800-2800.

What is Danielle Tomko's specialty?

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

Is Danielle Tomko enrolled in Medicare?

Yes. Danielle Tomko 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 Danielle Tomko accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Danielle Tomko 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 Danielle Tomko affiliated with any hospitals?

According to CMS data, Danielle Tomko is affiliated with Baylor University Medical Center, Baylor Scott And White Medical Center Lake Pointe and Baylor Scott And White Medical Center Sunnyvale.

When was this NPI record last updated?

The NPPES record for Danielle Tomko was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.