JUSTIN TOMAL (M.D.) – Gastroenterology Physician, NPI 1093129751
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
76 GASTROENTEROLOGY in ID
Provider Addresses for JUSTIN TOMAL (M.D.)
1200 GARRITY BLVD
NAMPA, ID 836873402
Phone: (208) 343-6458
Type: Location
1211 Medical Center Dr
Nashville, TN 372321447
Phone: (615) 322-5000
Type: Location
1 Medical Center Blvd
Cookeville, TN 385014294
Phone: (931) 783-2770
Fax: (931) 525-1176
Type: Location
127 N OAK AVE STE D
COOKEVILLE, TN 385012435
Phone: (931) 783-5857
Fax: (931) 526-6760
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $188.
Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.
Last reported payment date: 2023-11-02 • Largest payer in this snapshot: ABBVIE INC. ($152).
Total Amount
$188
General + Research + Ownership
Payments
6
Total payment records
General Amount
$188
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $152 |
| INTERCEPT PHARMACEUTICALS, INC. | $21 |
| Amgen Inc. | $16 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200617001933 | I | Gastroenterology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 240 | 227 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 118 | 114 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 117 | 116 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 80 | 79 | $0 |
| 43248 | Insertion of guide wire with dilation of esophagus using a flexible endoscope | 42 | 41 | $0 |
Insurance plans in this area (ZIP 83687)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Internal Medicine, Gastroenterology | ID | |
| Nurse Practitioner | WA | |
| - | ID | |
| Nurse Practitioner | ID | |
| Gastroenterology, Internal Medicine | ID | |
| P A T H O L O G Y | TX | |
| Physician Assistant | ID | |
| Gastroenterology, Internal Medicine | ID | |
| Nurse Practitioner | ID |
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