DR. RAQUEL M TOMAINE (DO) – Family Medicine Physician, NPI 1336110345
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
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Provider Addresses for DR. RAQUEL M TOMAINE (DO)
Harleysville Post Office, Oak Drive, Harleysville, Lower Salford Township, Montgomery County, Pennsylvania, 19450, United States
HARLEYSVILLE, PA 194380907
Phone: (215) 453-4995
Fax: (833) 616-7831
Type: Mailing
Health Center at Quakertown, 99, North West End Boulevard, Quakertown, Bucks County, Pennsylvania, 18951, United States
SUITE 102
QUAKERTOWN, PA 189511272
Phone: (215) 538-0202
Fax: (215) 538-9580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $917.
Total Amount is formed as General ($917) + Research ($0) + Ownership ($0) = $917.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Novo Nordisk Inc ($248).
Total Amount
$917
General + Research + Ownership
Payments
47
Total payment records
General Amount
$917
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $248 |
| ABBVIE INC. | $155 |
| AstraZeneca Pharmaceuticals LP | $152 |
| Lilly USA, LLC | $67 |
| GlaxoSmithKline, LLC. | $61 |
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: 2005-08-16
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 |
|---|---|---|---|---|
| I20050816000920 | I | Family Practice | PA | 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 | 362 | 226 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 164 | 164 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 66 | $0 |
| G0008 | Administration of influenza virus vaccine | 62 | 62 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 52 | 52 | $0 |
Insurance plans in this area (ZIP 19438)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| C H I R O P R A C T I C | PA | |
| - | PA | |
| - | PA | |
| - | TX | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA |
Reviews
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