Active NPI 1003361106 Individual Practitioner Female Practitioner

Priscila M Tomlin

Nurse Practitioner • Durham, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Priscila Tomlin is a certified Nurse Practitioner practicing in Durham, NC. With approximately 10 years of clinical experience since completing medical education in 2016, Priscila Tomlin delivers high-quality medical care to the local community at 8315 MORRELL LN.

Priscila Tomlin is affiliated with University Of North Carolina At Chapel Hill and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8315 Morrell Ln

Durham, NC 277136347

Telephone 9194914661

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Durham, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -2.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

280 Specialists

Practicing in Durham, NC (4565 Statewide)

Telehealth Adoption Rate

23.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tomlin (10 Years) 10 Yrs

Durham Specialty Average (12.5 Years) 12.5 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
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	170	123	$49.87	$13.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	89	$318.00	$102.17
36415 Insertion of needle into vein for collection of blood sample	106	79	$20.00	$8.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	46	$401.89	$123.29
83036 Hemoglobin A1C level	32	23	$73.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	26	26	$206.15	$72.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	26	26	$355.00	$102.68
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	23	13	$86.00	$24.96
91322 Sarscov2 vac 50 mcg/0.5ml im	21	21	$157.00	$143.00
90480 Admn sarscov2 vacc 1 dose	21	21	$120.00	$40.52

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	192	111	$318.00	$103.06
36415 Insertion of needle into vein for collection of blood sample	159	106	$20.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	71	66	$207.00	$72.13
83036 Hemoglobin A1C level	45	26	$73.00	$9.52
G0008 Administration of influenza virus vaccine	44	44	$71.00	$29.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$355.00	$96.32
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	40	40	$83.00	$75.81
81003 Automated urinalysis test	32	21	$18.50	$2.20
90480 Admn sarscov2 vacc 1 dose	15	15	$120.00	$38.90
91322 Sarscov2 vac 50 mcg/0.5ml im	15	15	$157.00	$143.00

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	236	136	$318.00	$105.28
36415 Insertion of needle into vein for collection of blood sample	192	125	$20.00	$2.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$355.00	$76.25
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$207.00	$74.71
83036 Hemoglobin A1C level	47	29	$73.00	$9.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	38	$58.50	$7.69
G0008 Administration of influenza virus vaccine	30	29	$71.00	$28.12
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	25	25	$83.00	$70.25
81003 Automated urinalysis test	23	21	$18.50	$2.22
0004A Fee covid-19 vac 1 res	22	22	$120.00	$37.54
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	17	17	$120.00	$37.27

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	240	130	$318.00	$107.13
36415 Insertion of needle into vein for collection of blood sample	208	127	$20.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	73	58	$207.00	$75.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$355.00	$92.02
83036 Hemoglobin A1C level	55	34	$73.00	$9.71
G0008 Administration of influenza virus vaccine	43	42	$71.00	$16.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	43	41	$58.50	$7.77
90662 Influenza vaccine split virus, preservative free	36	35	$83.00	$65.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	14	$447.00	$149.80
G0009 Administration of pneumococcal vaccine	19	19	$71.00	$16.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$115.00	$115.00
81003 Automated urinalysis test	15	12	$18.50	$2.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	250	137	$20.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	130	$318.00	$89.72
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$207.00	$61.73
99442 Telephone medical discussion with physician, 11-20 minutes	76	56	$73.00	$61.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$355.00	$94.70
83036 Hemoglobin A1C level	60	38	$73.00	$9.65
G0008 Administration of influenza virus vaccine	59	58	$71.00	$16.08
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	54	50	$58.50	$7.71
90662 Influenza vaccine split virus, preservative free	51	50	$83.00	$59.90
99441 Telephone medical discussion with physician, 5-10 minutes	45	36	$56.04	$37.13
G0009 Administration of pneumococcal vaccine	22	22	$71.00	$15.99
81003 Automated urinalysis test	21	19	$18.50	$2.23
90670 Pneumococcal vaccine for injection into muscle	11	11	$236.00	$222.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$115.00	$113.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	287	156	$20.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	156	$318.00	$89.52
99213 Established patient office or other outpatient visit, typically 15 minutes	139	114	$207.00	$61.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	108	91	$58.50	$8.46
83036 Hemoglobin A1C level	66	36	$73.00	$10.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$355.00	$95.67
81003 Automated urinalysis test	45	41	$18.50	$2.44
G0008 Administration of influenza virus vaccine	35	35	$71.00	$15.79
90662 Influenza vaccine split virus, preservative free	26	26	$81.62	$54.55
G0009 Administration of pneumococcal vaccine	24	24	$71.00	$15.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$527.00	$135.39
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	14	14	$40.00	$7.96
90670 Pneumococcal vaccine for injection into muscle	14	14	$213.00	$207.08

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	218	151	$318.00	$87.82
36415 Insertion of needle into vein for collection of blood sample	213	142	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	147	114	$207.00	$59.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	60	$58.50	$9.40
G0008 Administration of influenza virus vaccine	44	44	$71.00	$19.38
83036 Hemoglobin A1C level	42	39	$73.00	$11.75
90662 Influenza vaccine split virus, preservative free	34	34	$47.00	$46.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$355.00	$94.77
81003 Automated urinalysis test	23	21	$18.50	$2.71
G0009 Administration of pneumococcal vaccine	18	18	$71.00	$19.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$115.00	$105.59

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	307	216	$318.00	$87.34
99213 Established patient office or other outpatient visit, typically 15 minutes	262	208	$207.00	$59.42
G0008 Administration of influenza virus vaccine	42	41	$71.00	$23.92
90662 Influenza vaccine split virus, preservative free	35	34	$47.00	$45.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$353.04	$93.79
36415 Insertion of needle into vein for collection of blood sample	23	22	$20.00	$2.94
81003 Automated urinalysis test	21	20	$18.50	$3.02
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	19	$40.00	$7.83
83036 Hemoglobin A1C level	19	18	$73.00	$13.05
G0009 Administration of pneumococcal vaccine	18	18	$71.00	$23.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	16	16	$58.50	$10.45
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$115.92	$96.87

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NC 5008828

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

University Of North Carolina At Chapel Hill

101 Manning Dr, Chapel Hill, NC 275144220

Phone: 9849741000

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2016

Registered at 8315 MORRELL LN, DURHAM, NC 277136347 (Tel: 9194914661)

📍

Updated Business Mailing Address August 18, 2016

Registered at 8315 MORRELL LN, DURHAM, NC 277136347 (Tel: 9194914661)

👤

Provider Name / Credentials Updated August 18, 2016

Recorded as PRISCILA TOMLIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2016

Nurse Practitioner (License #5008828 in NC)

🟢

Initial NPI Registration & Enumeration August 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003361106

Entity Type:

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

Enumeration Date: August 18, 2016

Last Update: August 18, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

8315 Morrell Ln

Durham, NC 277136347

Phone: 9194914661

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.