Active NPI 1467434175 Individual Practitioner Male Practitioner

Dr. Richard J Tomolonis , MD

Surgery • Manchester, NH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Richard Tomolonis, MD is a certified Surgery practicing in Manchester, NH. With approximately 30 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1996, Dr. Tomolonis delivers high-quality medical care to the local community at 87 MCGREGOR ST.

Dr. Tomolonis is affiliated with Appledore Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

87 Mcgregor St
Suite 3100

Manchester, NH 031023731

Telephone 6036271887

Fax 6036271890

Associated Practice Facility / Clinic

🏢 Catholic Medical Center Facility NPI 1235370057

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Manchester, NH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +2.8 yrs vs City Avg

City Avg: 27.2 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

19 Specialists

Practicing in Manchester, NH (202 Statewide)

Telehealth Adoption Rate

15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tomolonis (30 Years) 30 Yrs

Manchester Specialty Average (27.2 Years) 27.2 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$331.84	$107.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$383.20	$127.43
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$338.20	$90.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$531.42	$165.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$396.69	$126.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$250.43	$91.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$506.78	$168.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$319.64	$113.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$273.16	$129.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$382.69	$129.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$309.05	$112.02
99213 Established patient office or other outpatient visit, typically 15 minutes	37	24	$235.49	$93.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$449.61	$171.45
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$282.13	$101.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$277.53	$131.68
49505 Repair of groin hernia (5 years or older)	12	12	$1486.00	$545.51
47562 Removal of gallbladder using an endoscope	11	11	$2348.36	$685.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	36	$250.88	$95.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$294.18	$116.70
47562 Removal of gallbladder using an endoscope	16	16	$2098.75	$670.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$301.38	$134.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$209.85	$58.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$402.69	$173.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$98.31	$39.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$197.62	$78.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$185.75	$47.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$258.50	$112.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$373.08	$171.17
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$211.45	$79.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$178.25	$74.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	25	$118.73	$45.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$388.00	$163.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$93.00	$40.43
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$189.71	$79.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$255.00	$112.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$166.00	$74.70
47562 Removal of gallbladder using an endoscope	12	12	$1911.00	$699.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$262.85	$110.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	24	$129.80	$45.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$258.26	$110.47
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$181.18	$74.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	18	$93.05	$39.89
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$187.50	$77.18
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$214.94	$103.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$397.18	$156.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	30	$140.00	$44.70
99213 Established patient office or other outpatient visit, typically 15 minutes	36	31	$183.00	$74.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$401.29	$167.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$264.00	$107.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$260.00	$109.70
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$190.00	$76.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$90.00	$39.66
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$211.93	$102.49
49505 Repair of groin hernia (5 years or older)	13	13	$1055.38	$503.41

Medical Specialties & State Licenses

CMS Verified: 2021-04-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NH 13132

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License NH 13132

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

PENDING (NH)

Commercial Insurance / Payer ID Anthem

01Y010638NH01 (NH)

Commercial Insurance / Payer ID Harvard Pilgrim

AA62544 (NH)

Commercial Insurance / Payer ID United Healcare

2152393 (NH)

Hospital & Practice Group Affiliations

Appledore Medical Group Inc

87 Mcgregor St, Manchester, NH 031023766

Phone: 6036271887

Practice Associates & Co-Workers

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

12 Associated Practitioners

Leah Blais

Nurse Practitioner - Family

NPI 1104303213

Jessica Blazka , PA

Physician Assistant

NPI 1184048332

Physician Assistant

Jill Uhlenhake , PA

Physician Assistant - Surgical

NPI 1376788232

Physician Assistant

Meaghan O'leary , APRN

Nurse Practitioner - Acute Care

NPI 1447682257

Advanced Practice Registered Nurse

Megan Desantis , PA

Physician Assistant - Surgical

NPI 1629042858

Physician Assistant

Dr. Christopher Lundquist , MD

Surgery

NPI 1669683967

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 April 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2008

Registered at 87 MCGREGOR ST, SUITE 3100, MANCHESTER, NH 031023731 (Tel: 6036271887)

📍

Updated Business Mailing Address April 24, 2008

Registered at 87 MCGREGOR ST, SUITE 3100, MANCHESTER, NH 031023731 (Tel: 6036271887)

👤

Provider Name / Credentials Updated April 24, 2008

Recorded as RICHARD TOMOLONIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Specialist (License #13132 in NH)

🟢

Initial NPI Registration & Enumeration November 17, 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: 1467434175

Entity Type:

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

Enumeration Date: November 17, 2005

Last Update: April 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

87 Mcgregor St, Suite 3100

Manchester, NH 031023731

Phone: 6036271887

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.