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2026 NPPES data Hospice and Palliative Medicine (Emergency Medicine) Physician NPI 1750319539 M.D
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Michelle Tom, M.D

Hospice and Palliative Medicine (Emergency Medicine) Physician in Laguna Hills, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 167 in Hospice and Palliative Medicine (Emergency Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
174
Medicare Part D claims · 122 beneficiaries · Hospice and Palliative Medicine (Emergency Medicine) Physician avg: 300
MIPS score
94.6/100
▲ 11 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Michelle Tom, M.D reported a CMS MIPS final score of 94.6/100 - above the 83.5 national average - and filed 174 Medicare Part D claims in 2024.

94.6/100
MIPS score · +11 vs avg
174
Part D claims, 2024
Likely
board-certified (heuristic)
≥73rd
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Michelle Tom, M.D

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1750319539), first enumerated 06/29/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 174 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 94.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • State context

    State board disciplinary context

    California statewide board action statistics are published annually — these figures describe aggregate state activity, not Michelle Tom, M.D's individual license status. Verify directly with the state medical board.

    Source: MBC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1750319539 · Hospice and Palliative Medicine (Emergency Medicine) Physician

NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1750319539
  • ENUM-LEGACY 2006
  • TAX-TRACE 167
  • MIPS-ELITE 94.6/100
  • RX-LIGHT 174
  • BOOK-THIN 24 in California
  • PHOTO-FINISH Paul Desandre · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Michelle Tom, M.D's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

95 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Michelle Tom, M.D sits

This provider among hospice and palliative medicine (emergency medicine) physician peers

Across the 23 hospice and palliative medicine (emergency medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Tom, M.D writes more Part D claims than 78% of them and scores higher on MIPS quality than 74% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 59Point, Part D claim volume, percentile in specialty: 14 · MIPS quality, percentile: 36Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 41Point, Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 86Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 41Point, Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 64Point, Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 9Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 41 · MIPS quality, percentile: 91Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 14Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 36 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 59 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 82Michelle Tom, M.D, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 74
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hospice and palliative medicine (emergency medicine) physician peer from a representative sample of 22; the gold marker is Michelle Tom, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Michelle Tom, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Michelle Tom, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 06/29/2006

NPI 1750319539

Primary specialty

Hospice and Palliative Medicine (Emergency Medicine) Physician

Rare

167 US NPIs in this specialty

Medicare Part D claims

174 42% vs specialty avg

2024 prescription claims

Specialty avg: 300

MIPS final score

94.6/100 11.1 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in California

How Hospice and Palliative Medicine (Emergency Medicine) Physician compares to other specialties among California providers

California providers
Behavior Technician17.9%Marriage & Family Therapist5.4%Student in an Organized Heal…5.1%Mental Health Counselor3.7%Pharmacist3.4%Clinical Social Worker3.1%Hospice and Palliative Medic…0%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Michelle Tom, M.D's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Emergency Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
94.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.6%
MIPS final score (Hospice and Palliative Medicine (Emergency Medicine) Physician) - 94.6/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

24451 HEALTH CENTER DR
Laguna Hills, CA 92653
(714) 837-4500

Provider Details

NPI 1750319539
Specialty Hospice and Palliative Medicine (Emergency Medicine) Physician
Credentials M.D
Gender Female
NPI Issued 06/29/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.6267
Final Score
Measured-score avg: 83.5
76.6789
Quality
97.1443
Cost

Reporting: Group practice

License & disciplinary context - California MBC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 - they are NOT specific to Michelle Tom, M.D. To verify Michelle Tom, M.D's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

174
Total Claims
$1K
Total Drug Cost
122
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
180
Total Day Supply
1,644
Generic Drug Cost
$1K
Opioid Claims
35 (20.1% rate)
Antibiotic Claims
48

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
1.82
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Michelle Tom, M.D prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
25
Ondansetron Odt
Ondansetron
24
Cephalexin
 12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Hospice and Palliative Medicine (Emergency Medicine) Physician in CA → All providers in California → Compare specialties →

Hospice and Palliative Medicine (Emergency Medicine) Physician Overview

How Michelle Tom, M.D fits within the Hospice and Palliative Medicine (Emergency Medicine) Physician landscape nationally.

167
Hospice and Palliative Medicine (Emergency Medicine) Physician Providers in US
39
States with Hospice and Palliative Medicine (Emergency Medicine) Physician
300
Avg Claims per Provider

Michelle Tom, M.D's 174 claims are below the specialty average of 300.

Nationwide Hospice and Palliative Medicine (Emergency Medicine) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Tom, both outside California so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.6 here).

Paul Desandre 94.6 GA Lori Schleicher 93.7 NY Joseph Raziano 96.6 DE David Nguyen 96.7 FL

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Renee Foutz Milwaukee, WI Isaac Bromberg Rockport, ME Marc-David Munk Boston, MA Richard Benedon Pflugerville, TX

Nearby Hospice and Palliative Medicine (Emergency Medicine) Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Tom.

One of 24 Hospice and Palliative Medicine (Emergency Medicine) Physician providers enrolled in California, 5 are shown here.

Dr. Yomi Adeyemi
M.D.
La Quinta, CA
Dr. Catherine Antonuk
MD
Torrance, CA
Dr. John Benjamin Arevalo
MD, MBA
San Francisco, CA
Dr. Austin Causey
MD
Oakland, CA
Dr. Alice Chang
DO
Orange, CA

Compare Hospice and Palliative Medicine (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Michelle Tom, M.D's specialty? ▼
Michelle Tom, M.D specializes in Hospice and Palliative Medicine (Emergency Medicine) Physician and practices in Laguna Hills, California. Credentials: M.D.
How much does Michelle Tom, M.D prescribe under Medicare Part D? ▼
In 2024, Michelle Tom, M.D wrote 174 Medicare Part D claims totaling $1K in drug costs for 122 beneficiaries.
What is Michelle Tom, M.D's Medicare quality score? ▼
Michelle Tom, M.D has a CMS MIPS Final Score of 94.6/100 (Quality: 76.7, Cost: 97.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Tom, M.D located? ▼
Michelle Tom, M.D is located at 24451 HEALTH CENTER DR, Laguna Hills, CA, 92653. Phone: (714) 837-4500.
What is Michelle Tom, M.D's NPI number? ▼
Michelle Tom, M.D's National Provider Identifier (NPI) is 1750319539, issued on 06/29/2006.
Does Michelle Tom, M.D prescribe opioids? ▼
Yes, Michelle Tom, M.D had 35 opioid claims in 2024 with an opioid prescribing rate of 20.1%.
How many Hospice and Palliative Medicine (Emergency Medicine) Physician providers are there in the US? ▼
There are 167 Hospice and Palliative Medicine (Emergency Medicine) Physician providers across 39 states in the US. The average Hospice and Palliative Medicine (Emergency Medicine) Physician provider writes 300 Medicare Part D claims per year.
What drugs does Michelle Tom, M.D prescribe most often? ▼
Based on 2024 Medicare Part D data, Michelle Tom, M.D's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Odt, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Tom, M.D accept Medicare? ▼
Michelle Tom, M.D appears in CMS Medicare data with 174 Part D claims and 122 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Tom, M.D's credentials? ▼
Michelle Tom, M.D's NPI is 1750319539 with credentials M.D. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.