DR. THOMAS M ASTOLFI (M.D) – Family Medicine Physician, NPI 1689650665
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
612 FAMILY PRACTICE in NH
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Provider Addresses for DR. THOMAS M ASTOLFI (M.D)
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT
PO BOX 7291
LEWISTON, ME 042437291
Phone: (207) 777-8695
Fax: (207) 777-8800
Type: Mailing
SJ Family Medical Center, 460, Amherst Street, Ward 2, Nashua, Hillsborough County, New Hampshire, 03063, United States
NASHUA, NH 030631220
Phone: (603) 883-7970
Type: Location
294 DANIEL WEBSTER HWY
MERRIMACK, NH 03054
Phone: (603) 440-7722
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-10-21
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 |
|---|---|---|---|---|
| I20051021000494 | I | Family Practice | NH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 143 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 55 | $0 |
Insurance plans in this area (ZIP 04243)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | NH | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 19 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NH | |
| - | NH | |
| Cardiovascular Disease (Cardiology) | AZ | |
| - | NH | |
| Clinical Social Worker | VT | |
| Certified Nurse Midwife (Cnm) | NH | |
| O T O L A R Y N G O L O G Y | VA | |
| A L L E R G Y/ I M M U N O L O G Y | FL | |
| - | NH | |
| - | NH |
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