RUSSELL C TONTZ III M.D.
NPI 1295930261
Preventive Medicine - Occupational Medicine in Somerville, MA
Quality Rating: 96.89 out of 100 score
NPI Status: Active since June 19, 2007
Contact Information
5 MIDDLESEX AVE
SOMERVILLE, MA
ZIP 02145
Phone: (617) 665-1000
- Individual
- Male
- Preventive Medicine
- Occupational Medicine
- Accepts Insurance
- PECOS Enrolled
About RUSSELL TONTZ
This page provides the complete NPI Profile along with additional information for Russell Tontz, a provider established in Somerville, Massachusetts with a medical specialization in Preventive Medicine, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1295930261 assigned on June 2007. The practitioner's primary taxonomy code is 2083X0100X with license number 1013927 (MA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1295930261
- Provider Name
- RUSSELL C TONTZ III M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5 MIDDLESEX AVE SOMERVILLE, MA 02145
- Location Phone
- (617) 665-1000
- Mailing Address
- 1025 MARSH ST MANKATO, MN 56001
- Mailing Phone
- (507) 625-4031
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-19-2007
- Last Update Date
- 11-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Preventive Medicine Occupational Medicine
- Taxonomy Code
- 2083X0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 1013927
- License State
- MA
- Taxonomy Description
- Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 64408 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,000 - PPO
- Sanford Individual Simplicity $7,100 HSA Qualified - PPO
- Sanford Individual Simplicity $9,200 - PPO
- Sanford Individual Simplicity Standardized $1,500 - PPO
- Sanford Individual Simplicity Standardized $5,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Russell Tontz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02145 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $144.11
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $36.02
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.89, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 96.89 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 86.89
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 9 | 5 | 9 | 3 | 0 | 2 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 18 | 3 | 0 | 2 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 1 + 8 + 3 + 0 + 2 + 1 + 2 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1295930261 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1629166244 | JONATHAN D HOLDER DO,MPH Individual | Internal Medicine | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4660 |
| 1932230976 | LILY S CHEUNG M.D. Individual | Preventive Medicine (Occupational Medicine) | 5 MIDDLESEX AVE CHA - OCCUPATIONAL HEALTH SOMERVILLE, MA 02145 (617) 591-4660 |
| 1427277029 | LINDA COULTAS PT Individual | Physical Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4686 |
| 1487858510 | MR. RON C CHORZEWSKI PT Individual | Physical Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4648 |
| 1184828048 | MS. LISA M POIRIER OTR, CHT Individual | Occupational Therapist (Hand) | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4652 |
| 1437353455 | MS. SHEILA ROBIN STROCK CCC-SLP Individual | Speech-Language Pathologist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4627 |
| 1952505836 | ELIZABETH BOWLER PT Individual | Physical Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4638 |
| 1275737090 | DENISE MARIE BALIAN OTR Individual | Occupational Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4654 |
| 1780889212 | MR. STEPHEN CRAIG HUNT PTA, EP Individual | Physical Therapy Assistant | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4647 |
| 1598960023 | MR. RICHARD KENNETH AKERBERG PTA Individual | Physical Therapy Assistant | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4647 |
| 1235334608 | MARGARET GALLAGHER PT Individual | Physical Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4635 |
| 1669677589 | MRS. LINDA TERELLA-MORSE Individual | Physical Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4601 |
| 1124223045 | MRS. MAUREEN CLAIRE BECKSHAW PT Individual | Physical Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4636 |
| 1487850723 | MR. DOUGLAS ROBERT KAHN MSPT Individual | Physical Therapist (Orthopedic) | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4601 |
| 1740486703 | SARAH BRENNAN CALIRI MS CCC-SLP Individual | Speech-Language Pathologist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4627 |
| 1013107796 | MICHELLE REX MURPHY OTR/L Individual | Occupational Therapist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4652 |
| 1972782076 | CAMBRIDGE HEALTH ALLIANCE Organization | General Acute Care Hospital | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4680 |
| 1669798773 | NIZHONI COMMUNITY CARE LLC Organization | Community/Behavioral Health | 5 MIDDLESEX AVE SUITE 404 SOMERVILLE, MA 02145 (617) 623-3211 |
| 1508179136 | MRS. JENNIFER PAULSON HEWITT M.S., CCC-SLP Individual | Speech-Language Pathologist | 5 MIDDLESEX AVE SOMERVILLE, MA 02145 (617) 591-4600 |
| 1245549708 | MICHELLE FRANCES CORREA DPT Individual | Physical Therapist | 5 MIDDLESEX AVE DEPARTMENT OF REHABILITATION SOMERVILLE, MA 02145 (617) 591-4655 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295930261, enumerated in the NPI registry as an "individual" on June 19, 2007
The provider is located at 5 Middlesex Ave Somerville, Ma 02145 and the phone number is (617) 665-1000
The provider's speciality is Preventive Medicine with taxonomy code 2083X0100X with a focus in Occupational Medicine
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Sanford. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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