SHIMON TOBOLSKY (MPAS, RPA-C) – Physician Assistant, NPI 1477555779
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,244 PHYSICIAN ASSISTANT in NY
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Provider Addresses for SHIMON TOBOLSKY (MPAS, RPA-C)
Washington Avenue, Albany, Albany County, New York, 12203, United States
STE 300
ALBANY, NY 122061098
Phone: (518) 489-4704
Fax: (518) 489-0512
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $1,149.
Total Amount is formed as General ($1,149) + Research ($0) + Ownership ($0) = $1,149.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novo Nordisk Inc ($387).
Total Amount
$1,149
General + Research + Ownership
Payments
52
Total payment records
General Amount
$1,149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $387 |
| Abbott Laboratories | $184 |
| Dexcom, Inc. | $161 |
| ABBVIE INC. | $140 |
| BETA BIONICS, INC. | $80 |
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: 2004-01-20
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 |
|---|---|---|---|---|
| I20040120000194 | I | Physician Assistant | NY | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 490 | 316 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 80 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 57 | 57 | $0 |
| 10005 | Fine needle aspiration biopsy using ultrasound guidance, first growth | 18 | 17 | $0 |
Insurance plans in this area (ZIP 12206)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NY | |
| - | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| P S Y C H I A T R Y | NC | |
| Emergency Medicine, Critical Care (Intensivists) | NY | |
| Thoracic Surgery | NY | |
| - | NY | |
| Vascular Surgery | NY |
Reviews
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