RICHARD TOM M.D.
NPI 1952396517
Obstetrics & Gynecology in Aurora, IL

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment
2020 OGDEN AVE, SUITE 225, AURORA, IL 60504(630) 978-4800(630) 978-6791 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2020, Feb 7, 2019, Jul 7, 2017 (3 updates tracked since 2017).

About Richard Tom M.d. NPPES

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

RICHARD TOM M.D. (NPI 1952396517) is an individual obstetrics & gynecology provider in Aurora, Illinois, licensed in Illinois (036-097522) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1952396517
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameRICHARD TOMCredential: M.D.
Location Address2020 OGDEN AVE, SUITE 225Aurora, IL 60504-5894
Mailing Address2020 Ogden Ave Ste 400Aurora, IL 60504-5898 · (630) 692-5564 · Fax (630) 692-5563
Fax(630) 978-6791
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1952396517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036-097522
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.
2020 OGDEN AVE, Aurora, IL 60504

Accepted 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

Richard Tom 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 ID9931239332
PECOS Enrollment IDI20100610001144
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

3

Medicare enrollment records show Richard Tom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics
2020 OGDEN AVENUE, SUITE 225
Aurora, IL 60504
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush-Copley Medical Group Nfp
  • 171 clinicians in this Medicare group
Internal Medicine
2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
Internal Medicine
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 548 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.

Hospital Affiliations CMS Care Compare

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

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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.

Family Medicine
2020 OGDEN AVE
AURORA, IL 60504
Advanced Practice Midwife
2020 OGDEN AVE, SUITE 225
AURORA, IL 60504
Internal Medicine (Infectious Disease)
2020 OGDEN AVE, STE 140
AURORA, IL 60504
Family Medicine
2020 OGDEN AVE, SUITE 325
AURORA, IL 60504
Physical Medicine & Rehabilitation
2020 OGDEN AVE
AURORA, IL 60504
Dermatology
2020 OGDEN AVE
AURORA, IL 60504
Psychiatry & Neurology (Neurology)
2020 OGDEN AVE, SUITE 400
AURORA, IL 60504
Internal Medicine (Nephrology)
2020 OGDEN AVE, STE 140
AURORA, IL 60504

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 Richard Tom's NPI number?

The NPI number for Richard Tom is 1952396517. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Richard Tom located?

Richard Tom practices at 2020 Ogden Ave Suite 225, Aurora, IL 60504. The listed phone number is (630) 978-4800.

What is Richard Tom's specialty?

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

Is Richard Tom enrolled in Medicare?

Yes. Richard Tom 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 Richard Tom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Tom reassigns Medicare benefits to 3 organizations: Rush-Copley Medical Group (Aurora, IL), Rush University Medical Center (Oak Brook, IL) and Rush Medical Group (Chicago, IL). 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 Richard Tom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Tom accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Richard Tom 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 Richard Tom affiliated with any hospitals?

According to CMS data, Richard Tom is affiliated with Copley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Richard Tom was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.