MICHAEL TOMBLYN (MD) – Radiation Oncology Physician, NPI 1083758544
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 RADIATION ONCOLOGY in IL
Provider Addresses for MICHAEL TOMBLYN (MD)
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Mailing
2160 S 1st Ave
Maywood, IL 601533328
Phone: (708) 216-9000
Type: Location
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 381209446
Phone:
Fax: (901) 227-8591
Type: Mailing
6019 WALNUT GROVE RD
MEMPHIS, TN 381202113
Phone: (901) 226-0340
Fax: (901) 226-0349
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $191.
Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.
Last reported payment date: 2024-09-30 • Largest payer in this snapshot: RefleXion Medical, Inc. ($63).
Total Amount
$191
General + Research + Ownership
Payments
5
Total payment records
General Amount
$191
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210719002780 | I | Radiation Oncology | TN | TBD |
| I20251227000330 | I | Radiation Oncology | MS | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 710 | 61 | $0 |
| 77300 | Calculation of radiation therapy dose | 427 | 89 | $0 |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 382 | 33 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 311 | 90 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 202 | 78 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Family Practice | MS | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | MS | |
| Internal Medicine | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
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