DR. JENNIFER V. TOM (M.D.) – Emergency Medicine Physician, NPI 1376562686
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,391 EMERGENCY MEDICINE in PA
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Provider Addresses for DR. JENNIFER V. TOM (M.D.)
Methodist Hospital, 2301, South Broad Street, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States
PHILADELPHIA, PA 191483542
Phone: (215) 952-9136
Fax: (215) 952-9138
Type: Location
325 DISTEL CIR
LOS ALTOS, CA 940221408
Phone: (650) 696-4758
Type: Mailing
100 S SAN MATEO DR
SAN MATEO, CA 944013805
Phone: (650) 696-4758
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050315000677 | I | Emergency Medicine | PA | TBD |
| I20150810000925 | I | Emergency Medicine | NJ | TBD |
| I20230329001482 | I | Emergency Medicine | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 88 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 77 | 77 | $0 |
| 81003 | Automated urinalysis test | 35 | 33 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 23 | 23 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 19148)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| A L L E R G Y/ I M M U N O L O G Y | CA | |
| - | CA | |
| Hospitalist, Obstetrics/Gynecology | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA |
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