Active NPI 1396737532 Individual Practitioner Male Practitioner

Dr. Thomas John Cumbo , MD

Internal Medicine • Buffalo, NY

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Cumbo, MD is a registered healthcare professional specializing in Internal Medicine in Buffalo, NY. Practice services are available at 354 LINCOLN PKWY under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

354 Lincoln Pkwy

Buffalo, NY 142163121

Telephone 7168738311

Fax 7164479152

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Buffalo, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.7 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

312 Specialists

Practicing in Buffalo, NY (12979 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

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	127	69	$140.00	$104.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$400.00	$112.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$95.00	$51.54

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	133	66	$140.00	$98.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$400.00	$106.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	17	$96.29	$49.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	417	45	$65.00	$35.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	96	$140.00	$95.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$377.78	$103.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$250.00	$184.91
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	18	$96.67	$43.61
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$95.00	$67.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$100.00	$61.07

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 103661

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Internal Medicine - Infectious Disease

NUCC Taxonomy Code: 207RI0200X

State License NY 103661

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00677770 (NY)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2012

Registered at 354 LINCOLN PKWY, BUFFALO, NY 142163121 (Tel: 7168738311)

📍

Updated Business Mailing Address January 31, 2012

Registered at 354 LINCOLN PKWY, BUFFALO, NY 142163121 (Tel: 7168738311)

👤

Provider Name / Credentials Updated January 31, 2012

Recorded as THOMAS CUMBO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2012

Internal Medicine (License #103661 in NY)

🟢

Initial NPI Registration & Enumeration August 15, 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: 1396737532

Entity Type:

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

Enumeration Date: August 15, 2005

Last Update: January 31, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

354 Lincoln Pkwy

Buffalo, NY 142163121

Phone: 7168738311

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.