JAMES TOMKINSON (MD) – Pediatrics Physician, NPI 1013413814
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for JAMES TOMKINSON (MD)
4900 MUELLER BLVD STE 3S.066C
AUSTIN, TX 787233079
Phone:
Type: Mailing
1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 871310001
Phone:
Type: Mailing
PO BOX 3250
WINCHESTER, VA 226042450
Phone: (703) 673-4490
Fax: (540) 678-9025
Type: Mailing
19441 GOLF VISTA PLZ STE 310
LEESBURG, VA 201768272
Phone: (703) 729-3420
Fax: (703) 729-3422
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,123.
Total Amount is formed as General ($1,123) + Research ($0) + Ownership ($0) = $1,123.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($344).
Total Amount
$1,123
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,123
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $344 |
| HARMONY BIOSCIENCES LLC | $261 |
| ZOLL Respicardia, Inc. | $165 |
| JAZZ PHARMACEUTICALS INC. | $162 |
| Axsome Therapeutics, Inc. | $104 |
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: 2023-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230711004170 | I | Pediatric Medicine | DC | TBD |
| I20230712002616 | I | Pediatric Medicine | VA | 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 | 71 | 56 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 17 | 17 | $0 |
Insurance plans in this area (ZIP 78723)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Nurse Practitioner | VA | |
| Internal Medicine | DC | |
| Pediatric Medicine | FL | |
| Nurse Practitioner | VA | |
| Pulmonary Disease, Pediatric Medicine, Family Practice, Sleep Medicine, Pediatric Medicine | FL | |
| Internal Medicine | VA | |
| Physician Assistant | MD | |
| Sleep Medicine, Internal Medicine | VA | |
| Family Practice | VA |
Reviews
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