Active NPI 1255385258 Individual Practitioner Male Practitioner

Dr. Kevin M Tomera , MD

Urology • Beloit, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Tomera, MD is a certified Urology practicing in Beloit, WI. With approximately 48 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 1978, Dr. Tomera delivers high-quality medical care to the local community at 1905 E. HUEBBE PARKWAY.

Dr. Tomera is affiliated with Beloit Health System Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope, new patient 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

1905 E. Huebbe Parkway
Beloit Clinic

Beloit, WI 535111842

Telephone 6083642470

Fax 6083637378

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Beloit, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +4.0 yrs vs City Avg

City Avg: 44.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Beloit, WI (278 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

94.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tomera (48 Years) 48 Yrs

Beloit Specialty Average (44.0 Years) 44.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	604	289	$125.98	$61.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	413	213	$180.47	$90.12
52000 Diagnostic exam of bladder and urethra using an endoscope	100	84	$919.52	$72.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$193.89	$123.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$154.23	$75.54
52005 Insertion of tube into ureter using an endoscope through bladder area	30	28	$3382.43	$93.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	28	$927.00	$119.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	25	$496.00	$133.75
55700 Biopsy of prostate gland	27	27	$967.33	$115.69
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	26	26	$376.00	$28.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$60.74	$32.67
51720 Instillation of anti-cancer drug into bladder	21	14	$839.81	$23.26
51700 Simple bladder irrigation and/or instillation	18	11	$420.00	$27.03
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	12	$4024.69	$118.10
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$691.00	$75.47
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	13	12	$2558.00	$174.55
50590 Shock wave crushing of kidney stones	13	11	$15500.00	$523.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	547	269	$121.86	$61.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	164	$175.62	$91.32
52000 Diagnostic exam of bladder and urethra using an endoscope	106	83	$890.42	$72.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$151.60	$75.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	23	$255.00	$46.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$174.00	$124.41
51700 Simple bladder irrigation and/or instillation	39	18	$412.10	$27.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	27	$891.00	$121.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	22	$360.00	$74.23
55700 Biopsy of prostate gland	26	25	$931.31	$116.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	19	$62.00	$33.18
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$362.00	$28.80
52005 Insertion of tube into ureter using an endoscope through bladder area	21	20	$3064.57	$88.38
51720 Instillation of anti-cancer drug into bladder	20	11	$791.00	$25.01
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	16	$3594.50	$101.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$490.60	$134.57
52330 Manipulation of stone in urinary duct (ureter) using an endoscope	12	11	$3613.00	$189.34
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$664.00	$76.83
50590 Shock wave crushing of kidney stones	12	11	$14904.00	$526.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	396	221	$118.72	$63.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	130	$178.03	$93.15
52000 Diagnostic exam of bladder and urethra using an endoscope	94	76	$844.40	$74.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$177.03	$125.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	20	$245.00	$36.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$151.71	$78.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	23	$464.27	$137.90
51700 Simple bladder irrigation and/or instillation	31	15	$402.71	$26.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$56.70	$34.08
99221 Initial hospital inpatient care per day, typically 30 minutes	18	14	$638.00	$93.02
52005 Insertion of tube into ureter using an endoscope through bladder area	18	17	$2883.11	$94.29
52332 Insertion of stent in urinary duct (ureter) using an endoscope	16	14	$3422.00	$102.66
52648 Laser vaporization of prostate including control of bleeding using an endoscope	13	12	$6358.00	$645.80
52281 Dilation of bladder canal (urethra) using an endoscope	11	11	$2224.55	$140.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	334	204	$112.65	$64.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	99	$165.31	$95.81
52000 Diagnostic exam of bladder and urethra using an endoscope	70	61	$866.60	$74.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$161.00	$130.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$141.56	$79.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	22	$236.00	$36.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$50.10	$34.67
51700 Simple bladder irrigation and/or instillation	29	12	$378.03	$28.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	22	$333.00	$68.70
52005 Insertion of tube into ureter using an endoscope through bladder area	19	19	$3030.00	$99.73
55700 Biopsy of prostate gland	15	14	$892.80	$115.48
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$3524.86	$120.25
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$6113.00	$655.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	12	$335.00	$30.23
52287 Exam with injections of chemical for destruction of bladder using an endoscope	13	11	$2160.00	$160.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	392	228	$108.12	$49.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	106	$157.01	$76.60
52000 Diagnostic exam of bladder and urethra using an endoscope	75	65	$829.04	$77.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$168.75	$125.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$152.00	$71.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	36	$49.43	$24.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	19	$227.00	$38.18
50590 Shock wave crushing of kidney stones	21	18	$13225.71	$552.59
55700 Biopsy of prostate gland	17	16	$786.00	$128.06
51702 Simple insertion of temporary bladder tube	17	13	$326.88	$25.01
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$322.00	$31.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$792.00	$134.40
52005 Insertion of tube into ureter using an endoscope through bladder area	14	14	$2767.50	$103.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$4025.36	$148.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	379	199	$103.75	$48.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	121	$151.80	$75.37
52000 Diagnostic exam of bladder and urethra using an endoscope	88	77	$807.06	$76.75
99213 Established patient office or other outpatient visit, typically 15 minutes	85	62	$102.00	$70.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$132.04	$72.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	44	$152.89	$103.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$156.85	$122.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	35	$40.00	$24.30
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$566.00	$95.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	16	$218.00	$37.53
52000 Diagnostic exam of bladder and urethra using an endoscope	24	23	$763.83	$181.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$149.00	$146.98
52005 Insertion of tube into ureter using an endoscope through bladder area	20	20	$2865.30	$106.89
50590 Shock wave crushing of kidney stones	17	17	$12740.00	$549.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$40.00	$39.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$128.80	$100.87
76000 Imaging guidance for procedure, 60 minutes or less	14	12	$112.00	$14.74
55700 Biopsy of prostate gland	13	13	$782.92	$121.07
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	13	13	$310.00	$31.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$396.75	$106.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	328	174	$93.48	$52.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	107	$146.13	$77.76
52000 Diagnostic exam of bladder and urethra using an endoscope	101	88	$572.75	$88.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$129.91	$73.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	65	$37.23	$25.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$196.43	$124.90
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$533.51	$96.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	23	$362.93	$106.16
50590 Shock wave crushing of kidney stones	21	17	$9800.62	$545.28
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$296.24	$31.58
76872 Ultrasound scan of pelvic region through rectum	20	20	$170.57	$33.18
76000 Imaging guidance for procedure, 60 minutes or less	17	14	$105.94	$8.30
52287 Exam with injections of chemical for destruction of bladder using an endoscope	15	12	$1536.08	$163.60
52005 Insertion of tube into ureter using an endoscope through bladder area	13	13	$1784.21	$105.74
52648 Laser vaporization of prostate including control of bleeding using an endoscope	12	12	$9006.80	$659.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	350	228	$211.91	$76.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$262.89	$97.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	86	$125.12	$45.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	58	$289.26	$104.00
81003 Automated urinalysis test	67	37	$30.00	$3.02
52000 Diagnostic exam of bladder and urethra using an endoscope	39	32	$501.73	$108.66
52000 Diagnostic exam of bladder and urethra using an endoscope	28	27	$537.71	$110.78
99221 Initial hospital inpatient care per day, typically 30 minutes	27	25	$360.40	$103.96
51798 Ultrasound measurement of bladder capacity after voiding	19	16	$50.00	$22.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$377.00	$144.24
55700 Biopsy of prostate gland	16	15	$815.00	$140.57

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WI 65999-20

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Urology

NUCC Taxonomy Code: 208800000X

State License MA 248468

Urology

NUCC Taxonomy Code: 208800000X

State License AK AK6700892

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

MD0058 (AK)

Hospital & Practice Group Affiliations

Beloit Health System Inc

1905 E Huebbe Pkwy, Beloit, WI 535111842

Phone: 6083642200

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Internal Medicine - Infectious Disease

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Doctor of Medicine (M.D.)

Dr. Steven Yang , MD

Internal Medicine - Gastroenterology

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Doctor of Medicine (M.D.)

Dr. William Fitzgerald , MD

Internal Medicine

NPI 1083622021

Doctor of Medicine (M.D.)

Dr. Maria Poplawska Goetzen , MD

Family Medicine

NPI 1083752398

Doctor of Medicine (M.D.)

Dr. Jack-Ky Wang , MD

Family Medicine

NPI 1093744617

Doctor of Medicine (M.D.)

Dr. Alan Rehbein , OD

Optometrist

NPI 1174531834

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Urology (License #248468 in MA)

✅

NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 23, 2017

Registered at 1905 E. HUEBBE PARKWAY, BELOIT CLINIC, BELOIT, WI 535111842 (Tel: 6083642470)

📍

Updated Business Mailing Address August 23, 2017

Registered at 1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC, BELOIT, WI 535111842 (Tel: (608) 364-2200)

👤

Provider Name / Credentials Updated August 23, 2017

Recorded as KEVIN TOMERA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Urology (License #65999-20 in WI)

✅

NPI Profile Active September 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2011

Registered at 11 NEVINS ST, SUITE 303, BRIGHTON, MA 021353514 (Tel: 6177878181)

📍

Updated Business Mailing Address September 26, 2011

Registered at 11 NEVINS ST, SUITE 303, BRIGHTON, MA 021353514 (Tel: 6177878181)

👤

Provider Name / Credentials Updated September 26, 2011

Recorded as KEVIN TOMERA, M. D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2011

Urology (License #248468 in MA)

🟢

Initial NPI Registration & Enumeration May 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255385258

Entity Type:

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

Enumeration Date: May 22, 2006

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1905 E. Huebbe Parkway, Beloit Health System Inc

Beloit, WI 535111842

Phone: 6083642200

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.