Active NPI 1174958698 Individual Practitioner Male Practitioner

Dr. Tom Jose , MD

Internal Medicine • Youngstown, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tom Jose, MD is a certified Internal Medicine practicing in Youngstown, OH. With approximately 19 years of clinical experience since completing medical education in 2007, Dr. Jose delivers high-quality medical care to the local community at 500 GYPSY LN.

Dr. Jose maintains professional affiliations with Unc Physicians Network Llc, Vidant Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

500 Gypsy Ln

Youngstown, OH 445041315

Telephone 3308818253

Associated Practice Facility / Clinic

🏢 Pediatric Imaging Associates, Llc Facility NPI 1205838497

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Youngstown, OH

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs -2.3 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

134 Specialists

Practicing in Youngstown, OH (5516 Statewide)

Telehealth Adoption Rate

5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jose (19 Years) 19 Yrs

Youngstown Specialty Average (21.3 Years) 21.3 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	214	212	$516.25	$161.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	88	$380.54	$121.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$499.00	$161.76
99497 Advance care planning, first 30 minutes	20	20	$241.00	$70.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	273	264	$535.51	$164.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	194	179	$391.82	$122.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	74	44	$211.42	$74.96
99497 Advance care planning, first 30 minutes	54	53	$233.17	$71.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	16	$305.71	$113.57
99239 Hospital discharge day management, more than 30 minutes	19	19	$311.21	$109.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	360	344	$520.25	$192.23
99220 Hospital observation care, typically 70 minutes	169	167	$467.51	$173.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	77	$342.45	$130.38
99221 Initial hospital inpatient care per day, typically 30 minutes	57	55	$264.79	$94.51
99497 Advance care planning, first 30 minutes	40	40	$217.45	$75.75
99219 Hospital observation care, typically 50 minutes	20	20	$272.15	$127.71
99291 Critical care, first 30-74 minutes	15	15	$623.87	$214.69
99218 Hospital observation care typically 30 minutes	14	14	$219.00	$95.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	14	$288.86	$99.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	341	325	$499.00	$196.17
99220 Hospital observation care, typically 70 minutes	129	128	$457.00	$179.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	67	$337.00	$129.63
99497 Advance care planning, first 30 minutes	46	46	$208.00	$77.33
99219 Hospital observation care, typically 50 minutes	42	42	$251.00	$132.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	22	$256.00	$101.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	24	$178.00	$66.58
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$249.00	$99.42
99239 Hospital discharge day management, more than 30 minutes	19	19	$235.00	$100.55
99291 Critical care, first 30-74 minutes	15	14	$610.00	$217.83
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	12	12	$500.00	$211.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	643	595	$618.94	$199.33
99220 Hospital observation care, typically 70 minutes	234	227	$563.82	$183.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	43	$178.00	$71.98
99497 Advance care planning, first 30 minutes	61	60	$208.00	$78.79
99239 Hospital discharge day management, more than 30 minutes	32	32	$235.00	$106.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	11	$256.00	$104.09
99291 Critical care, first 30-74 minutes	15	15	$675.18	$221.17
99219 Hospital observation care, typically 50 minutes	13	13	$251.00	$135.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	669	237	$178.00	$70.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	451	414	$499.00	$196.69
99220 Hospital observation care, typically 70 minutes	150	141	$457.00	$181.67
99239 Hospital discharge day management, more than 30 minutes	147	142	$235.00	$104.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	118	33	$96.00	$38.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	28	$256.00	$100.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	750	354	$178.00	$70.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	400	369	$499.00	$196.11
99239 Hospital discharge day management, more than 30 minutes	140	138	$235.00	$104.21
99220 Hospital observation care, typically 70 minutes	127	122	$457.00	$178.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	46	$256.00	$100.92
99217 Hospital observation care on day of discharge	23	22	$178.00	$68.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$337.00	$132.25
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	20	20	$34.00	$11.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$96.00	$37.96
99225 Subsequent observation care, typically 25 minutes per day	14	12	$121.00	$70.92
99291 Critical care, first 30-74 minutes	12	11	$610.00	$215.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	483	436	$499.00	$195.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	218	127	$178.00	$69.82
99220 Hospital observation care, typically 70 minutes	122	116	$457.00	$179.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	60	$256.00	$100.90
99239 Hospital discharge day management, more than 30 minutes	43	43	$235.00	$103.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$337.00	$132.12
99291 Critical care, first 30-74 minutes	20	20	$610.00	$216.01
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	15	15	$500.00	$201.52
99217 Hospital observation care on day of discharge	12	12	$178.00	$70.22

Medical Specialties & State Licenses

CMS Verified: 2024-03-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NC 2016-01727

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.

Hospital & Practice Group Affiliations

Unc Physicians Network Llc

2700 Wayne Memorial Dr, Goldsboro, NC 275349494

Phone: 9195874394

Unc Physicians Network Llc

940 Martin Luther King Jr Blvd, Chapel Hill, NC 275142601

Phone: 9199425123

Unc Physicians Network Llc

100 Airport Rd, Kinston, NC 285011604

Vidant Medical Group Llc

100 Airport Rd, Kinston, NC 285011604

Phone: 2525227197

Secondary Practice Locations

100 Airport Rd Fl 4

Kinston, NC 285011604

Phone: 2525227197

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Michael Saalouke , MD

Pediatrics - Pediatric Cardiology

NPI 1013984145

Doctor of Medicine (M.D.)

Dr. Amanpreet Dhaliwal , MD

Student in an Organized Health Care Education/Training Program

NPI 1033523923

Doctor of Medicine (M.D.)

Dr. Sahil Rao , MD

Internal Medicine

NPI 1063829075

Doctor of Medicine (M.D.)

Donna Ward , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073574976

Certified Registered Nurse Anesthetist

Dr. Dominik Berdysz , DDS

Dentist

NPI 1073927414

Doctor of Dental Surgery

Virginia O'hara , CRNA

Registered Nurse

NPI 1083667018

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 05, 2024

Registered at 5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 275605490

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2024

Internal Medicine (License #2016-01727 in NC)

✅

NPI Profile Active September 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 04, 2013

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308818253)

📍

Updated Business Mailing Address September 04, 2013

Registered at 500 GYPSY LN, YOUNGSTOWN, OH 445041315 (Tel: 3308818253)

👤

Provider Name / Credentials Updated September 04, 2013

Recorded as TOM JOSE, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 04, 2013

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: 1174958698

Entity Type:

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

Enumeration Date: September 04, 2013

Last Update: March 05, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5221 Paramount Pkwy Ste 220

Morrisville, NC 275605490

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.