JENNIFER L. TOMICH (M.D.) – Diagnostic Radiology Physician, NPI 1194043901
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER L. TOMICH (M.D.)
11995 SINGLETREE LN
STE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
581 W MARINE CORPS DR
#201
HAGATNA, GU 96910
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
581 W Marine Corps Dr
#201
Hagatna, GU 96910
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Location
700 E MOREHEAD ST STE 300
CHARLOTTE, NC 282022742
Phone:
Type: Mailing
1241 ASSEMBLY ST STE B
COLUMBIA, SC 292013121
Phone: (803) 766-3009
Type: Location
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.
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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: 2021-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20150814013114 | I | Diagnostic Radiology | VA | TBD |
| I20160912002145 | I | Diagnostic Radiology | GU | TBD |
| I20201120001500 | I | Diagnostic Radiology | CA | TBD |
| I20210324002196 | I | Diagnostic Radiology | NY | TBD |
| I20210621000061 | I | Diagnostic Radiology | FL | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 756 | 733 | $0 |
| 71250 | Ct scan of chest without contrast | 125 | 124 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 111 | 111 | $0 |
| 70450 | Ct scan head or brain without contrast | 94 | 94 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 88 | 88 | $0 |
Insurance plans in this area (ZIP 55344)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | GU | 74177 | CT scan of abdomen and pelvis with contrast | 20 | 19 |
| DIAGNOSTIC RADIOLOGY | GU | 76830 | Ultrasound pelvis through vagina | 19 | 19 |
| DIAGNOSTIC RADIOLOGY | GU | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology, Interventional Radiology | IN | |
| Interventional Radiology, Pain Management | GA | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | GA | |
| - | GA |
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