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Dr. Kevin Tom , DO

Emergency Medicine โ€ข Hazel Crest, IL

Active NPI 1053990895 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

17800 Kedzie Ave
Hazel Crest, IL 604292029

Call 7082134200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17800 Kedzie Ave

Hazel Crest, IL 604292029

Telephone 7082134200
Fax 7739674205
Organization at the Same NPPES Address or Phone
Suburban Wound Care Associates, Llc Facility NPI 1649411844

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chicago, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Foundation For Emergency Services. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Midwestern University, Chicago College Of Osteopathic Med

Graduation Year

2021

Medicare patients

14 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $826 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $658 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

27 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$138 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Tom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Tom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Hazel Crest and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Hazel Crest, IL (2024, 26 clinicians with data). Median for this group: 234. Middle half: 74 to 460.

Fewer Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: 321. Middle half: 179 to 524.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Emergency Medicine in Hazel Crest, IL (2024, 26 clinicians with data). Median for this group: $38,069. Middle half: $10,421 to $66,250.

A lower Medicare-allowed amount than 95% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: $45,108. Middle half: $24,677 to $72,172.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Emergency Medicine in Hazel Crest, IL (2024, 26 clinicians with data). Median for this group: $27,663. Middle half: $7,816 to $50,790.

A lower Medicare payment amount than 95% of clinicians listed under Emergency Medicine in Illinois (2024, 2,100 clinicians with data). Median for this group: $34,329. Middle half: $18,565 to $55,341.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Emergency Medicine in Hazel Crest, IL (2024, 18 clinicians with data). Median for this group: 95. Middle half: 36 to 177.

Fewer Part D prescriptions than 75% of clinicians listed under Emergency Medicine in Illinois (2024, 1,650 clinicians with data). Median for this group: 80. Middle half: 32 to 154.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Emergency Medicine in Hazel Crest, IL (2024, 18 clinicians with data). Median for this group: $670. Middle half: $293 to $1,282.

A lower Part D drug cost than 75% of clinicians listed under Emergency Medicine in Illinois (2024, 1,650 clinicians with data). Median for this group: $440. Middle half: $171 to $1,010.

33 active clinicians are listed under Emergency Medicine with a practice address in Hazel Crest, IL (3,297 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Hazel Crest

3% of these 33 clinicians have the CMS telehealth indicator.

51.5% of these 33 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
11 11 $315.00 $75.06

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 14 101 $92.21 14
Ibuprofen Ibuprofen 13 97 $45.85 13

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-07
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES IL 036-166065

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20240131000151

Enrollment State Jurisdiction

IL

PECOS Control ID

4385097963

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Foundation For Emergency Services

326 W 64th St, Chicago, IL 606213114

Phone: 7739623900

Secondary Practice Locations

326 W 64th St

Chicago, IL 606213114

Phone: 7396239007

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Esther Adeyemi

Emergency Medicine

NPI 1942880323
Dr. Greta Bell , MD

Emergency Medicine

NPI 1952384562

Doctor of Medicine (M.D.)

Monica Beszka

Emergency Medicine

NPI 1134418130
Dr. Timberly Booker , MD

Emergency Medicine

NPI 1487837027

Doctor of Medicine (M.D.)

Erica Boston , PA-C

Physician Assistant

NPI 1396454641

Physician Assistant (Certified)

Elisabeth Brown , APN-CNP

Nurse Practitioner

NPI 1497409502

APNCNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location August 07, 2025

Registered at 17800 KEDZIE AVE, HAZEL CREST, IL 604292029 (Tel: 7082134200)

๐Ÿ“
Updated Business Mailing Address August 07, 2025

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293 (Tel: 8473905900)

๐Ÿ“
Updated Practice Location October 19, 2023

Registered at 326 W 64TH ST, CHICAGO, IL 606213114 (Tel: 7396239007)

๐Ÿ“
Updated Business Mailing Address October 19, 2023

Registered at 7644 DAVIS ST, MORTON GROVE, IL 600531879 (Tel: 8476368496)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2023

Emergency Medicine (license number reported to NPPES: IL 036-166065)

โœ…
NPI Profile Active April 07, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 07, 2021

Registered at 5140 N CALIFORNIA AVE, CHICAGO, IL 606253645 (Tel: 7738788200)

๐Ÿ“
Business Mailing Address (Initial Record) April 07, 2021

Registered at 5140 N CALIFORNIA AVE, CHICAGO, IL 606253645 (Tel: 7738788200)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 07, 2021

Recorded as KEVIN TOM, DO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2021

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 07, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1053990895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2021
Last Update: August 07, 2025
Sole Proprietor: No

Other Emergency Medicine Providers in Hazel Crest

All Emergency Medicine Providers in Hazel Crest

More public profiles in Illinois

Directory navigation, in NPI number order.

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Phone: 8473905900

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.