JAMES A TOM (MD) – Orthopaedic Surgery Physician, NPI 1174514962

JAMES A TOM (MD) is a healthcare provider. based in Dover, Delaware. specializing in Orthopaedic Surgery Physician. They hold the professional credentials MD. They hold a License No. MD422655 (PA). The NPI Number for JAMES A TOM (MD) is 1174514962

Main info

Male
Name
JAMES A TOM (MD)
NPI
1174514962
Phone
(302) 480-1688
Address
640 S. STATE ST.
Enumeration Date
2 November 2005
Last Update Date
31 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for JAMES A TOM (MD)

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 480-1688

    Fax: (302) 480-9807

    Type: Mailing

  • Bayhealth Sussex Hospital, 100, Wellness Way, White Oak Mobile Home Park, Milford, Sussex County, Delaware, 19963, United States

    MILFORD, DE 199634364

    Phone: (302) 503-2300

    Fax: (302) 424-9212

    Type: Location

  • 151 OAKMONT DR

    MOORESTOWN, NJ 080573963

    Phone: (302) 535-7422

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $10,123.

Total Amount is formed as General ($10,123) + Research ($0) + Ownership ($0) = $10,123.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Think Surgical, Inc. ($10,123).

Total Amount

$10,123

General + Research + Ownership

Payments

3

Total payment records

General Amount

$10,123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Think Surgical, Inc.$10,123
View all Open Payments →|Open Payments Risk Radar →

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: 2022-05-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050707000458IOrthopedic SurgeryPATBD
I20220503002320IOrthopedic SurgeryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19901)

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Provider's Procedures

JAMES A TOM (MD) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA20610Aspiration and/or injection of large joint or joint capsule7646

Reviews

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Frequently asked questions

Does JAMES A TOM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAMES A TOM (MD) uses 1174514962.
Is JAMES A TOM (MD) listed as active for patients and plans?
The listing shows JAMES A TOM (MD) as active in the NPI system.
What taxonomy line describes JAMES A TOM (MD)?
For research purposes, treat JAMES A TOM (MD) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does JAMES A TOM (MD) list a practice location?
Patients near Dover, Delaware may find JAMES A TOM (MD) in results; validate coverage separately.
Why does JAMES A TOM (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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