DR. JACLYN A TOMSIC (MD) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1326224783
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. JACLYN A TOMSIC (MD)
621 S New Ballas Rd
Saint Louis, MO 631418232
Phone: (314) 251-6725
Type: Location
9601 Chester Ave
Cleveland, OH 441061666
Phone: (216) 368-3102
Type: Location
621, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SAINT LOUIS, MO 631418232
Phone: (314) 251-6725
Type: Mailing
6701 ROCKSIDE RD STE 209
INDEPENDENCE, OH 441312316
Phone: (216) 328-1234
Type: Location
3600 PARK EAST DR APT 539
BEACHWOOD, OH 441224358
Phone: (440) 213-9459
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $2,009.
Total Amount is formed as General ($2,009) + Research ($0) + Ownership ($0) = $2,009.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Straumann USA LLC ($1,789).
Total Amount
$2,009
General + Research + Ownership
Payments
41
Total payment records
General Amount
$2,009
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $1,789 |
| BioHorizons Implant Systems Inc. | $96 |
| Stryker Corporation | $68 |
| Bioventus LLC | $37 |
| ZIMVIE INC. | $19 |
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: 2019-11-15
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 |
|---|---|---|---|---|
| I20191115001828 | I | Oral Surgery | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63141)
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