Individual provider Active NPI

Matthew Tomm

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1336768050
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006686 Issued in CO
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210823000930 CO Practitioner - Physician Assistant 8729483250 Reassigns benefits to 1 organization
I20260430003293 CA Practitioner - Physician Assistant 8729483250 Reassigns benefits to 1 organization

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
Jeffrey Feinfield, M.D. IncGroup PAC ID 3173614930, 4 clinicians

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urology, PLLC CurrentSince Aug 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.