Effie Tsomos, MD
NPI 1487041349 · Endocrinology, Diabetes & Metabolism Physician · Oceanside, NY
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Effie Tsomos, MD is a Endocrinology, Diabetes & Metabolism Physician provider in Oceanside, NY (NPI 1487041349).
Provider details
- NPI number
- 1487041349
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
796 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 213 | $145 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 115 | $88 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 101 | $206 |
| Hemoglobin A1c Level83036 | 64 | $10 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 50 | $18 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 172 | 48 |
| Semaglutidebrand: Ozempic | 121 | 29 |
| Metformin Hclbrand: Metformin Hcl Er | 88 | 28 |
| Alendronate Sodium | 69 | 18 |
| Tirzepatidebrand: Mounjaro | 63 | 17 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 59 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$41 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 111 E 210th StBronx, NY 10467-2401Phone: (718) 920-4321
Registry dates
- Enumerated
- 2015-04-17
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Frequently asked questions
- What is Effie Tsomos's NPI number?
- Effie Tsomos's National Provider Identifier (NPI) is 1487041349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Effie Tsomos's specialty?
- Effie Tsomos is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Effie Tsomos located?
- Effie Tsomos's practice location on file with NPPES is 1 Healthy Way, Oceanside, NY 11572-1551.
- What is Effie Tsomos's phone number?
- The practice phone number listed in the NPPES registry for Effie Tsomos is (877) 768-8462.
- Does Effie Tsomos accept Medicare?
- Effie Tsomos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Effie Tsomos's NPI active?
- Yes — Effie Tsomos's NPI (1487041349) is active in the NPPES registry as of the last update on 2020-07-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.