Active NPI 1912972258 Individual Practitioner Male Practitioner

Dr. Jacob Joseph Tom , MD

Radiology - Diagnostic Radiology • Springfield, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Tom, MD is a certified Radiology - Diagnostic Radiology practicing in Springfield, OR. With approximately 32 years of clinical experience since graduating from Baylor College Of Medicine in 1994, Dr. Tom delivers high-quality medical care to the local community at 960 N 16TH ST STE 103.

Dr. Tom is affiliated with Singleton Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include screening mammography, dxa bone density measurement of hip, pelvis, spine, complete ultrasound scan of 1 breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

960 N 16th St Ste 103

Springfield, OR 974774175

Telephone 5417264694

Fax 5417446069

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Springfield, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +5.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 25.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Springfield, OR (548 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tom (32 Years) 32 Yrs

Springfield Specialty Average (26.3 Years) 26.3 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
77067 Screening mammography	450	450	$275.00	$111.82
77080 Dxa bone density measurement of hip, pelvis, spine	204	204	$346.00	$34.03
76641 Complete ultrasound scan of 1 breast	46	41	$279.35	$119.80
71046 X-ray of chest, 2 views	23	20	$99.00	$30.63
76881 Complete ultrasound of joint of arm or leg	23	19	$337.00	$48.19
76700 Ultrasound of abdomen	20	20	$307.00	$101.84
77066 Diagnostic mammography of both breasts	16	16	$350.00	$143.35
72110 X-ray of lower and sacral spine, minimum of 4 views	16	16	$134.00	$45.31
74221 Double contrast x-ray of esophagus	15	15	$225.00	$101.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	593	593	$275.00	$123.74
77080 Dxa bone density measurement of hip, pelvis, spine	227	227	$346.00	$36.54
76641 Complete ultrasound scan of 1 breast	41	39	$271.34	$125.52
76700 Ultrasound of abdomen	32	32	$307.00	$113.94
76881 Complete ultrasound of joint of arm or leg	28	27	$337.00	$51.46
71046 X-ray of chest, 2 views	26	26	$99.00	$32.67
74221 Double contrast x-ray of esophagus	20	20	$225.00	$108.86
73560 X-ray of knee, 1-2 views	19	14	$99.00	$33.18
76536 Ultrasound of head and neck	17	16	$275.00	$108.22
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	16	16	$776.00	$249.22
76770 Complete ultrasound scan behind abdominal cavity	15	15	$297.00	$105.78
73030 X-ray of shoulder, minimum of 2 views	13	12	$99.00	$33.62
77066 Diagnostic mammography of both breasts	13	13	$350.00	$153.34
73502 X-ray of hip, 2-3 views	13	13	$100.00	$45.80
73630 X-ray of foot, minimum of 3 views	13	11	$77.00	$33.20
93880 Ultrasound of both sides of head and neck blood flow	12	12	$495.00	$173.01
93922 Ultrasound study of arm and leg arteries	11	11	$222.00	$75.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	667	667	$275.00	$124.66
77080 Dxa bone density measurement of hip, pelvis, spine	258	258	$346.00	$35.69
76641 Complete ultrasound scan of 1 breast	47	45	$248.40	$113.08
76700 Ultrasound of abdomen	45	45	$307.00	$115.29
71046 X-ray of chest, 2 views	39	38	$99.00	$32.09
76770 Complete ultrasound scan behind abdominal cavity	36	35	$297.00	$106.88
76881 Complete ultrasound of joint of arm or leg	33	31	$337.00	$56.35
76706 Ultrasound scan of abdominal aorta	29	29	$297.00	$104.18
93880 Ultrasound of both sides of head and neck blood flow	25	25	$495.00	$186.77
77066 Diagnostic mammography of both breasts	25	25	$350.00	$154.90
76536 Ultrasound of head and neck	24	24	$275.00	$109.98
74221 Double contrast x-ray of esophagus	22	22	$225.00	$109.39
76705 Limited ultrasound scan of abdomen	19	19	$223.00	$84.56
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	19	$346.00	$116.63
73630 X-ray of foot, minimum of 3 views	16	15	$77.00	$33.58
73560 X-ray of knee, 1-2 views	15	13	$99.00	$33.24
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	14	$1500.00	$505.48
72110 X-ray of lower and sacral spine, minimum of 4 views	13	13	$134.00	$49.89
73565 X-ray of both knees while standing	13	13	$99.00	$39.38
93922 Ultrasound study of arm and leg arteries	12	12	$222.00	$79.40
73502 X-ray of hip, 2-3 views	12	12	$100.00	$45.60
77065 Diagnostic mammography of 1 breast	12	12	$166.67	$122.88
73522 X-ray of both hips, 3-4 views	11	11	$120.00	$52.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	717	717	$274.90	$127.91
77080 Dxa bone density measurement of hip, pelvis, spine	300	300	$346.00	$36.76
71046 X-ray of chest, 2 views	88	86	$99.00	$32.50
76700 Ultrasound of abdomen	53	50	$307.00	$117.49
76641 Complete ultrasound scan of 1 breast	41	39	$249.39	$116.38
76770 Complete ultrasound scan behind abdominal cavity	36	36	$297.00	$108.61
0031A Adm sarscov2 vac ad26 .5ml	35	34	$50.00	$38.45
76706 Ultrasound scan of abdominal aorta	28	28	$297.00	$104.30
93880 Ultrasound of both sides of head and neck blood flow	27	27	$495.00	$193.64
74221 Double contrast x-ray of esophagus	26	26	$214.42	$110.28
77066 Diagnostic mammography of both breasts	22	22	$350.00	$158.28
72110 X-ray of lower and sacral spine, minimum of 4 views	21	20	$134.00	$49.10
73560 X-ray of knee, 1-2 views	21	17	$99.00	$33.05
73030 X-ray of shoulder, minimum of 2 views	20	18	$99.00	$33.09
76536 Ultrasound of head and neck	20	18	$275.00	$113.33
76881 Complete ultrasound of joint of arm or leg	19	18	$337.00	$64.84
93922 Ultrasound study of arm and leg arteries	18	18	$222.00	$78.45
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	17	$346.00	$117.95
73565 X-ray of both knees while standing	17	17	$99.00	$39.33
73630 X-ray of foot, minimum of 3 views	16	15	$77.00	$33.07
73502 X-ray of hip, 2-3 views	16	16	$100.00	$45.06
72072 X-ray of middle spine, 3 views	12	12	$104.00	$37.81
76705 Limited ultrasound scan of abdomen	12	12	$223.00	$85.97
74246 X-ray of upper digestive tract with contrast	11	11	$258.00	$140.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	640	640	$274.88	$126.53
77080 Dxa bone density measurement of hip, pelvis, spine	264	264	$346.00	$36.34
71046 X-ray of chest, 2 views	92	89	$99.00	$30.88
76700 Ultrasound of abdomen	75	72	$307.00	$116.09
74221 Double contrast x-ray of esophagus	49	49	$200.00	$102.24
76641 Complete ultrasound scan of 1 breast	42	42	$253.57	$114.23
73560 X-ray of knee, 1-2 views	40	28	$99.00	$29.90
76881 Complete ultrasound of joint of arm or leg	31	31	$337.00	$74.21
73565 X-ray of both knees while standing	27	27	$99.00	$34.50
76706 Ultrasound scan of abdominal aorta	27	27	$297.00	$105.03
76770 Complete ultrasound scan behind abdominal cavity	25	25	$297.00	$107.19
73502 X-ray of hip, 2-3 views	25	25	$100.00	$42.42
77066 Diagnostic mammography of both breasts	24	24	$350.00	$154.76
73030 X-ray of shoulder, minimum of 2 views	23	19	$99.00	$31.17
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$134.00	$45.70
76705 Limited ultrasound scan of abdomen	22	22	$223.00	$86.19
76536 Ultrasound of head and neck	21	20	$275.00	$109.96
93880 Ultrasound of both sides of head and neck blood flow	15	15	$495.00	$177.04
73522 X-ray of both hips, 3-4 views	15	15	$120.00	$49.16
72072 X-ray of middle spine, 3 views	13	13	$104.00	$36.29
72114 X-ray lower and sacral spine, minimum of 6 views	12	12	$167.00	$50.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	12	$346.00	$114.59
76856 Complete ultrasound scan of pelvis	11	11	$247.00	$83.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	836	836	$274.37	$126.44
77080 Dxa bone density measurement of hip, pelvis, spine	348	348	$346.00	$37.15
71046 X-ray of chest, 2 views	131	118	$99.00	$30.03
76700 Ultrasound of abdomen	66	64	$307.00	$114.76
73560 X-ray of knee, 1-2 views	50	37	$99.00	$30.34
76641 Complete ultrasound scan of 1 breast	48	48	$246.35	$110.89
73565 X-ray of both knees while standing	35	35	$99.00	$34.64
76770 Complete ultrasound scan behind abdominal cavity	35	34	$297.00	$107.01
76706 Ultrasound scan of abdominal aorta	33	33	$297.00	$105.28
72110 X-ray of lower and sacral spine, minimum of 4 views	30	30	$134.00	$48.48
93880 Ultrasound of both sides of head and neck blood flow	30	30	$495.00	$192.33
93922 Ultrasound study of arm and leg arteries	23	22	$222.00	$71.20
73130 X-ray of hand, minimum of 3 views	22	15	$99.00	$31.78
76881 Complete ultrasound of joint of arm or leg	22	21	$337.00	$84.45
73030 X-ray of shoulder, minimum of 2 views	21	20	$99.00	$28.56
74220 Single contrast x-ray of esophagus	20	20	$180.00	$92.01
72072 X-ray of middle spine, 3 views	20	20	$104.00	$33.43
76705 Limited ultrasound scan of abdomen	19	19	$223.00	$86.28
77066 Diagnostic mammography of both breasts	19	19	$347.37	$154.75
76856 Complete ultrasound scan of pelvis	18	18	$247.00	$94.92
73522 X-ray of both hips, 3-4 views	17	17	$120.00	$47.35
73630 X-ray of foot, minimum of 3 views	14	12	$77.00	$27.87
76536 Ultrasound of head and neck	14	14	$275.00	$108.66
73502 X-ray of hip, 2-3 views	12	12	$100.00	$40.82
76830 Ultrasound pelvis through vagina	11	11	$243.00	$115.06
93925 Ultrasound of leg arteries or artery grafts	11	11	$656.00	$222.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	796	796	$268.81	$129.48
77080 Dxa bone density measurement of hip, pelvis, spine	307	307	$346.00	$39.38
71046 X-ray of chest, 2 views	151	139	$99.00	$28.91
76700 Ultrasound of abdomen	70	69	$307.00	$115.18
73560 X-ray of knee, 1-2 views	49	43	$99.00	$29.05
73565 X-ray of both knees while standing	42	42	$99.00	$33.71
76641 Complete ultrasound scan of 1 breast	42	41	$234.52	$108.11
76770 Complete ultrasound scan behind abdominal cavity	31	31	$297.00	$107.35
93880 Ultrasound of both sides of head and neck blood flow	30	30	$495.00	$194.22
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$134.00	$46.32
73030 X-ray of shoulder, minimum of 2 views	29	27	$99.00	$27.25
74220 Single contrast x-ray of esophagus	27	27	$180.00	$83.73
72072 X-ray of middle spine, 3 views	26	26	$104.00	$32.18
73630 X-ray of foot, minimum of 3 views	26	21	$77.00	$27.78
76536 Ultrasound of head and neck	22	21	$275.00	$111.56
73502 X-ray of hip, 2-3 views	21	21	$100.00	$39.22
76856 Complete ultrasound scan of pelvis	21	21	$247.00	$98.05
76706 Ultrasound scan of abdominal aorta	20	20	$297.00	$89.34
72050 X-ray of upper spine, 4 or 5 views	19	19	$132.00	$41.37
76881 Complete ultrasound of joint of arm or leg	18	18	$337.00	$96.87
76830 Ultrasound pelvis through vagina	17	17	$243.00	$116.37
73110 X-ray of wrist, minimum of 3 views	16	14	$77.00	$33.10
77065 Diagnostic mammography of 1 breast	16	16	$193.75	$128.32
73130 X-ray of hand, minimum of 3 views	15	12	$99.00	$30.18
77066 Diagnostic mammography of both breasts	14	14	$292.86	$161.87
76705 Limited ultrasound scan of abdomen	13	13	$223.00	$82.31
73610 X-ray of ankle, minimum of 3 views	13	13	$99.00	$28.28
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	12	$346.00	$115.43
73522 X-ray of both hips, 3-4 views	11	11	$120.00	$46.51
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$98.00	$33.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	753	753	$243.20	$126.23
77080 Dxa bone density measurement of hip, pelvis, spine	216	216	$346.00	$37.86
71020 X-ray of chest, 2 views, front and side	130	123	$96.91	$25.72
76700 Ultrasound of abdomen	56	56	$307.00	$112.59
73560 X-ray of knee, 1-2 views	42	31	$97.24	$28.73
76706 Ultrasound scan of abdominal aorta	38	38	$297.00	$87.20
76641 Complete ultrasound scan of 1 breast	36	34	$230.56	$104.28
73565 X-ray of both knees while standing	30	30	$99.00	$33.41
72110 X-ray of lower and sacral spine, minimum of 4 views	29	29	$134.00	$46.05
76770 Complete ultrasound scan behind abdominal cavity	26	25	$297.00	$105.83
73030 X-ray of shoulder, minimum of 2 views	20	15	$99.00	$26.10
73502 X-ray of hip, 2-3 views	20	20	$100.00	$38.76
93880 Ultrasound of both sides of head and neck blood flow	18	18	$495.00	$189.31
73630 X-ray of foot, minimum of 3 views	15	14	$77.00	$27.10
76881 Complete ultrasound of joint of arm or leg	15	15	$337.00	$112.03
72050 X-ray of upper spine, 4 or 5 views	14	14	$132.00	$39.46
76536 Ultrasound of head and neck	14	13	$275.00	$109.34
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$346.00	$112.46
76856 Complete ultrasound scan of pelvis	13	13	$247.00	$98.99
74220 Single contrast x-ray of esophagus	13	13	$180.00	$83.05
72072 X-ray of middle spine, 3 views	11	11	$104.00	$32.42

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License WA 39631

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

287539 (OR)

Hospital & Practice Group Affiliations

Singleton Associates Pa

1426 I St, Springfield, OR 974774116

Phone: 7138617164

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Leslie Dos Reis , MD

Radiology - Diagnostic Radiology

NPI 1144206327

Doctor of Medicine (M.D.)

Dr. Paul Longstreth , MD

Radiology - Diagnostic Radiology

NPI 1356327258

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 08, 2011

Registered at 960 N 16TH ST STE 103, SPRINGFIELD, OR 974774175 (Tel: 5417264694)

📍

Updated Business Mailing Address June 08, 2011

Registered at 696 N SHEPHERD RD, WASHOUGAL, WA 986718320 (Tel: 3602816432)

👤

Provider Name / Credentials Updated June 08, 2011

Recorded as JACOB TOM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2011

Radiology (License #39631 in WA)

🟢

Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912972258

Entity Type:

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

Enumeration Date: February 21, 2006

Last Update: June 08, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

696 N Shepherd Rd

Washougal, WA 986718320

Phone: 3602816432

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.