TOM GAROFALO (M.D.) – Colon & Rectal Surgery Physician, NPI 1790742013
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
133 COLORECTAL SURGERY (PROCTOLOGY) in OH
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Provider Addresses for TOM GAROFALO (M.D.)
6000, West Creek Road, Independence, Cuyahoga County, Ohio, 44131, United States
INDEPENDENCE, OH 441312139
Phone: (800) 223-2273
Type: Mailing
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441950001
Phone: (800) 223-2273
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 $482.
Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($227).
Total Amount
$482
General + Research + Ownership
Payments
5
Total payment records
General Amount
$482
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $227 |
| Stryker Corporation | $173 |
| Baxter Healthcare | $48 |
| Ethicon US, LLC | $34 |
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: 2005-09-19
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 |
|---|---|---|---|---|
| I20050919000263 | I | Colorectal Surgery (Proctology) | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 46600 | Diagnostic exam of anus using an endoscope | 82 | 73 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 81 | 80 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 71 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 41 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 39 | 39 | $0 |
Insurance plans in this area (ZIP 44131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| COLORECTAL SURGERY (PROCTOLOGY) | OH | 45385 | Removal of polyps or growths of large bowel using an endoscope | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NV | |
| Nephrology, Internal Medicine | OH | |
| - | OH | |
| - | MI | |
| Nurse Practitioner | OH | |
| General Surgery, Anesthesiology, Critical Care (Intensivists) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| - | MN | |
| Nurse Practitioner | OH |
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