Quick answers
- Does Theresa Tomy accept Medicare assignment?
- Yes. Medicare's clinician data says Theresa Tomy accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Theresa Tomy see?
- In 2024, CMS data shows 79 Original Medicare patients and 100 services for Theresa Tomy. This counts Original Medicare only and measures volume, not quality.
- What is Theresa Tomy's NPI number?
- 1720415185. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Theresa Tomy, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 79 |
|---|---|
| Services billed to Medicare | 100 |
| Different services or procedures | 10 |
| Participating Medicare provider | Yes |
| Average age of these patients | 75 |
Most frequent services
- Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)37 services
- Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes (99223)19 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes (99233)16 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- High cholesterol75%
- COPD61%
- Arthritis48%
- Ischemic heart disease46%
- Anxiety41%
Hospitals where Theresa Tomy works
Medicare's Facility Affiliation Data lists Theresa Tomy at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Hunterdon Medical CenterFlemington, NJ · Acute Care Hospital · Medicare rating: 4 of 5 stars · Emergency services: not listed by Medicare · CCN 310005
Practice locations
Addresses where Theresa Tomy is enrolled with Medicare (CMS data updated October 2, 2026).
- 6 Sand Hill Rd, Suite 202Flemington, NJ 08822 (908) 237‑4080
Group practices
Medicare enrollment lists Theresa Tomy as a member of this group (CMS data updated October 2, 2026).
- Hunterdon Specialty Care PC93 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Flemington
Clinicians with the same Medicare primary specialty in Flemington, NJ — not a recommendation.
Other clinicians in Hunterdon Specialty Care PC
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2013 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1720415185 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians