Active NPI
Matthew Tomm
- Physician Assistant
- Lone Tree, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0006686
- Practice address
- 10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456 - Phone
- (303) 695-6106
- NPI assigned
- Apr 13, 2020
- Last updated
- Mar 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0006686 | CO | Primary |
Addresses
Primary practice location
10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456
Mailing address
10200 Grand Central Ave Ste 220
Owings Mills, MD 21117-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 Marin St
Suite 100
Thousand Oaks, CA 91360-4102
Phone 80549447973
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology, PLLC | Current | Accepting new patients | |
| Foothills Urology, PC | Current | Accepting new patients | |
| Advanced Urology, PLLC | Current | Accepting new patients |
Locations
1411 S Potomac St
Ste 210
Denver, CO 80012
Phone (303) 750-0883
32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500
10535 Park Meadows Blvd
Ste 102
Lone Tree, CO 80124
Phone (303) 695-1211
11960 Lioness Way
Ste 210
Parker, CO 80134
Phone (303) 695-8706
3 Superior Dr
Ste 350
Superior, CO 80027
Phone (303) 666-4343
10200 Grand Central Ave
Ste 220
Owings Mills, MD 21117
25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681
Interoperability endpoints
- matthewtomm@fu.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Thousand Oaks, CA
- NPI 1013047455
-
- Urology Physician
- Englewood, CO
- NPI 1386448835
-
- Urology Physician
- Golden, CO
- NPI 1780617795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1336768050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10200 GRAND CENTRAL AVE STE 220",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 PARK MEADOWS BLVD STE 102",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801248456",
"telephone_number": "303-695-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMM",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0006686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.