Active NPI 1376682625 Individual Practitioner Male Practitioner

Dr. James W Tomko , OD

Optometrist • Aurora, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Tomko, OD is a certified Optometrist practicing in Aurora, OH. With approximately 40 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1986, Dr. Tomko delivers high-quality medical care to the local community at 215 W GARFIELD RD.

Dr. Tomko accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

215 W Garfield Rd
Ste 130

Aurora, OH 442027849

Telephone 3305622020

Fax 3305622867

Associated Practice Facility / Clinic

🏢 James W Tomko Od Llc Facility NPI 1740476142

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Aurora, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Aurora, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

30.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tomko (40 Years) 40 Yrs

Aurora 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	124	124	$120.00	$118.44
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	45	39	$80.00	$21.46

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	142	141	$120.00	$118.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	51	39	$65.00	$21.64

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	118	118	$100.00	$99.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	48	43	$65.00	$21.87

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	122	122	$100.00	$100.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	47	$65.00	$21.64

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	118	118	$99.92	$99.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	34	$66.00	$22.02

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	137	136	$94.78	$93.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	68	58	$65.44	$21.46

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	145	144	$94.82	$93.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	58	$65.45	$19.29

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	151	150	$95.03	$92.60
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	43	$67.05	$17.88

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3900

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

000000135401 (OH)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 07, 2014

Registered at 215 W GARFIELD RD, STE 130, AURORA, OH 442027849 (Tel: 3305622020)

📍

Updated Business Mailing Address February 07, 2014

Registered at 215 W GARFIELD RD, STE 130, AURORA, OH 442027849 (Tel: 3305622020)

👤

Provider Name / Credentials Updated February 07, 2014

Recorded as JAMES TOMKO, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Optometrist (License #3900 in OH)

🟢

Initial NPI Registration & Enumeration February 05, 2007

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: 1376682625

Entity Type:

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

Enumeration Date: February 05, 2007

Last Update: February 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

215 W Garfield Rd, Ste 130

Aurora, OH 442027849

Phone: 3305622020

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.