Dr. Nikalous Tolman, DO
418 S 5th St, Laramie, WY 82070 • +1-258-555-7240
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Laramie Percentiles
NPI #1487107280 • CBSA Regional • Optometry
Within the Laramie, WY (CBSA local) Optometry cohort, Dr. Nikalous Tolman, DO with sub-specialty concentration in 20 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 99th WY percentile (+0.00σ Z-score) based on 635 billed procedures for 214 patients.
Dr. Tolman's longitudinal care intensity (3.0 billed units per patient across 214 individuals) centers on 99214 (286 annual units) and 99213 ($115–$157 cash range).
At 418 S 5th St (82070), Dr. Nikalous Tolman, DO accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.78/5 bedside rating).
NPI registry verification (#1487107280) confirms Dr. Nikalous Tolman's DO standing serving CBSA 82070 with a 4.86/5 patient scorecard.
Top 10% Optometry volume leader in Laramie, WY
635 annual services across 214 beneficiaries
Standard deviations from WY Optometry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 286 | 99th | $150 – $205 |
| 99213 | Established Preventive & Chronic Care Visit | 165 | 99.5th | $115 – $157 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 94th | $55 – $75 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 99.5th | $176 – $241 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 99.5th | $208 – $286 |
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Dr. Nikalous Tolman, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tolman National Provider Identifier | NPI #1487107280 (DO) | CMS NPPES Registry (82070) |
| Dr. Tolman Laramie CMS Volume Rank | 99.00th Pct (635 CMS svcs; Z +0.000σ) | CMS Medicare Part B (WY Optometry) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Laramie, WY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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