Active NPI 1154327559 Individual Practitioner Male Practitioner

Dr. Todd N Tom , MD

Surgery • South Williamson, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Todd Tom, MD is a certified Surgery practicing in South Williamson, KY. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Tom delivers high-quality medical care to the local community at 306 HOSPITAL DR STE 100.

Dr. Tom is affiliated with Southern Regional Physicians Management Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

306 Hospital Dr Ste 100

South Williamson, KY 415034095

Telephone 6062371789

Fax 6062371797

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in South Williamson, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +14.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

4 Specialists

Practicing in South Williamson, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tom (43 Years) 43 Yrs

South Williamson Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	22	$323.00	$90.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	18	$177.00	$76.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	32	18	$49.00	$16.13
11042 Removal of skin and tissue, 20.0 sq cm or less	27	11	$325.60	$59.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	15	$456.00	$137.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$336.00	$127.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$336.00	$128.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	19	$257.00	$101.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$325.29	$129.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	16	$185.26	$99.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	11	$132.33	$110.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$133.81	$69.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$373.62	$192.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	77	$102.07	$74.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	39	$124.75	$69.04
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	35	$983.00	$88.87
99221 Initial hospital inpatient care per day, typically 30 minutes	38	31	$188.00	$97.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	21	$182.00	$102.56
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$51.11	$49.25
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$54.92	$49.17
45378 Diagnostic exam of large bowel using a flexible endoscope	18	17	$1242.00	$174.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$233.00	$135.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	14	$351.00	$199.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$122.00	$122.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	115	$81.15	$72.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	32	$124.00	$68.67
99213 Established patient office or other outpatient visit, typically 15 minutes	61	49	$72.08	$48.98
99221 Initial hospital inpatient care per day, typically 30 minutes	50	47	$188.00	$96.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	46	$983.00	$84.97
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$49.04	$48.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$49.03	$24.68
45380 Biopsy of large bowel using an endoscope	15	14	$1412.00	$120.25
10060 Simple or single drainage of skin abscess	13	13	$247.38	$82.34
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$1242.00	$177.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	70	$74.58	$71.77
99213 Established patient office or other outpatient visit, typically 15 minutes	85	57	$55.28	$48.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	47	$102.80	$101.24
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	34	$983.00	$96.84
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$1038.00	$87.24
99221 Initial hospital inpatient care per day, typically 30 minutes	25	21	$188.00	$97.28
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1242.00	$177.86
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$60.27	$48.46
45380 Biopsy of large bowel using an endoscope	17	17	$1412.00	$181.77
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	12	$1731.00	$251.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	119	$51.80	$48.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	49	$49.20	$24.33
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$49.20	$48.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	38	$983.00	$89.12
45380 Biopsy of large bowel using an endoscope	38	36	$1412.00	$152.72
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$188.00	$96.79
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$1038.00	$79.28
45378 Diagnostic exam of large bowel using a flexible endoscope	24	23	$1242.00	$177.75
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	15	$1731.00	$231.09
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$3367.00	$657.07
47562 Removal of gallbladder using an endoscope	12	12	$3046.00	$602.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$72.80	$71.83

Medical Specialties & State Licenses

CMS Verified: 2020-05-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 39872

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Southern Regional Physicians Management Group, Llc

11 Upper Riverdale Rd Sw, Riverdale, GA 302742615

Phone: 7709918000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Chadwick Knight , MD

Surgery

NPI 1013276310

Doctor of Medicine (M.D.)

Courtney Little , APRN

Nurse Practitioner - Family

NPI 1124489679

Advanced Practice Registered Nurse

Dr. Mkayla Francis , DO

Family Medicine

NPI 1366064677

Doctor of Osteopathic Medicine (D.O.)

Dr. Sarah Kung , DO

Internal Medicine - Pulmonary Disease

NPI 1891182010

Doctor of Osteopathic Medicine (D.O.)

Dr. Rao Vempaty , MD

Surgery

NPI 1891731774

Doctor of Medicine (M.D.)

Euna Roop , APRN

Nurse Practitioner

NPI 1942774708

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 21, 2020

Registered at 306 HOSPITAL DR STE 100, SOUTH WILLIAMSON, KY 415034095 (Tel: 6062371789)

📍

Updated Business Mailing Address May 21, 2020

Registered at 306 HOSPITAL DR STE 100, SOUTH WILLIAMSON, KY 415034095 (Tel: 6062371789)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2020

Surgery (License #39872 in KY)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 325 WEST WALNUT STREET, SUITE 300 MORNING STAR SURGICAL SERVICES, LEBANON, KY 40033 (Tel: 2706920735)

📍

Updated Business Mailing Address July 08, 2007

Registered at 325 WEST WALNUT STREET, SUITE 300, LEBANON, KY 40033 (Tel: 2706920735)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TODD TOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #39872 in KY)

🟢

Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154327559

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 22, 2005

Last Update: May 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

306 Hospital Dr Ste 100

South Williamson, KY 415034095

Phone: 6062371789

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.