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Home > NY Providers > Endocrinologists

Shimon Tobolsky, MPAS, RPA

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Specializes in: Endocrinology

Professional interests include: hyperparathyroidism, endocrine diseases (hormone disorders), diabetes, and more.

220 Washington Avenue Extension
Albany, NY 12203

(518) 489-4704

Shimon Tobolsky, MPAS, RPA is in Albany, NY specializing in endocrinology. Shimon Tobolsky, MPAS, RPA is affiliated with Albany Medical Center and Albany Medical College.

Office Locations

Address:

1365 Washington Avenue Suite 300
Albany, NY 12206

Address:

220 Washington Avenue Extension
Albany, NY 12203

Some issues Shimon Tobolsky, MPAS, RPA can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

aspiration	19
blood draw	585
diabetes management	338
diagnostic procedures	19
doctor visit	713
image guided procedures	19
lab tests	2465
minimally invasive procedures	19
minor procedures	19
neck imaging	150
preventive care	579
thyroid function tests	762
ultrasound (sonogram)	150
vaccines	12

**Gender**
Male	131
Female	226

**Ethnicity**
Non-Hispanic White	315
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	166
From 75 to 84	108
85 and over	26
Less than 65	57

Hypertension	65
High Cholesterol	58
Stroke	4
Ischemic Heart Disease	30
Depression	16
Chronic Kidney Disease	23
Asthma	8
Osteoperosis	10
Atrial Fibrilation	10
Heart Failure	16
Chronic Obstructive Pulmonary Disease	10
Diabetes	49
Dementia	7
Cancer	12

aspiration	24
blood draw	119
diabetes management	74
diagnostic procedures	24
doctor visit	646
image guided procedures	24
lab tests	518
minimally invasive procedures	24
minor procedures	24
neck imaging	69
preventive care	120
thyroid function tests	141
ultrasound (sonogram)	69

**Gender**
Male	117
Female	221

**Ethnicity**
Non-Hispanic White	301
Black	21
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	164
From 75 to 84	90
85 and over	27
Less than 65	57

Hypertension	64
High Cholesterol	60
Stroke	4
Ischemic Heart Disease	29
Depression	17
Chronic Kidney Disease	20
Asthma	8
Osteoperosis	12
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	13
Diabetes	51
Dementia	7
Cancer	10

aspiration	42
blood draw	54
diagnostic procedures	42
doctor visit	639
image guided procedures	42
minimally invasive procedures	42
minor procedures	42
neck imaging	93
ultrasound (sonogram)	93

**Gender**
Male	206
Female	408

**Ethnicity**
Non-Hispanic White	562
Black	24
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	320
From 75 to 84	158
85 and over	40
Less than 65	96

Hypertension	64
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	28
Depression	19
Chronic Kidney Disease	19
Asthma	10
Osteoperosis	15
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	11
Diabetes	45
Dementia	7
Cancer	11

aspiration	27
diagnostic procedures	27
doctor visit	673
image guided procedures	27
minimally invasive procedures	27
minor procedures	27
neck imaging	25
ultrasound (sonogram)	25

**Gender**
Male	101
Female	222

**Ethnicity**
Non-Hispanic White	289
Black	0
Hispanic	0
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	173
From 75 to 84	81
85 and over	16
Less than 65	53

Hypertension	63
High Cholesterol	54
Stroke	0
Ischemic Heart Disease	26
Depression	18
Chronic Kidney Disease	24
Asthma	17
Osteoperosis	13
Atrial Fibrilation	8
Heart Failure	15
Chronic Obstructive Pulmonary Disease	11
Diabetes	46
Dementia	6
Cancer	11

aspiration	24
diagnostic procedures	24
doctor visit	668
image guided procedures	24
minimally invasive procedures	24
minor procedures	24
neck imaging	102
ultrasound (sonogram)	102

**Gender**
Male	104
Female	230

**Ethnicity**
Non-Hispanic White	295
Black	0
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	178
From 75 to 84	85
85 and over	22
Less than 65	49

Hypertension	62
High Cholesterol	49
Stroke	0
Ischemic Heart Disease	31
Depression	18
Chronic Kidney Disease	23
Asthma	9
Osteoperosis	12
Atrial Fibrilation	10
Heart Failure	15
Chronic Obstructive Pulmonary Disease	11
Diabetes	46
Dementia	7
Cancer	12

aspiration	46
diagnostic procedures	46
doctor visit	715
image guided procedures	46
minimally invasive procedures	46
minor procedures	46
neck imaging	210
ultrasound (sonogram)	210

**Gender**
Male	116
Female	284

**Ethnicity**
Non-Hispanic White	357
Black	0
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	211
From 75 to 84	98
85 and over	28
Less than 65	63

Hypertension	60
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	30
Depression	19
Chronic Kidney Disease	0
Asthma	8
Osteoperosis	14
Atrial Fibrilation	11
Heart Failure	17
Chronic Obstructive Pulmonary Disease	11
Diabetes	39
Dementia	8
Cancer	12

doctor visit	664
musculoskeletal imaging	39
neck imaging	204
ultrasound (sonogram)	204
X-rays	39

**Gender**
Male	109
Female	254

**Ethnicity**
Non-Hispanic White	326
Black	0
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	192
From 75 to 84	92
85 and over	23
Less than 65	56

Hypertension	59
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	29
Depression	24
Chronic Kidney Disease	24
Asthma	8
Osteoperosis	18
Atrial Fibrilation	9
Heart Failure	16
Chronic Obstructive Pulmonary Disease	10
Diabetes	40
Dementia	6
Cancer	12

doctor visit	664
musculoskeletal imaging	42
neck imaging	208
ultrasound (sonogram)	208
X-rays	42

**Gender**
Male	120
Female	281

**Ethnicity**
Non-Hispanic White	362
Black	0
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	228
From 75 to 84	102
85 and over	26
Less than 65	45

Hypertension	58
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	33
Depression	20
Chronic Kidney Disease	24
Asthma	7
Osteoperosis	17
Atrial Fibrilation	9
Heart Failure	13
Chronic Obstructive Pulmonary Disease	7
Diabetes	39
Dementia	5
Cancer	10

doctor visit	1269
musculoskeletal imaging	109
X-rays	109

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Shimon Tobolsky, MPAS, RPA for Medicare patients.

The highest averages for the top procedures that Shimon Tobolsky, MPAS, RPA treated as in Albany, NY were lab tests, thyroid function tests, preventive care and blood draw.

aspiration	30
blood draw	252
diabetes management	206
diagnostic procedures	30
doctor visit	739
image guided procedures	30
lab tests	1492
minimally invasive procedures	30
minor procedures	30
musculoskeletal imaging	63
neck imaging	132
preventive care	350
thyroid function tests	452
ultrasound (sonogram)	132
vaccines	12
X-rays	63

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Shimon Tobolsky, MPAS, RPA.

**Gender**
Female	212
Male	100

**Ethnicity**
Black / African American	6
Asian / Pacific Islander	0
Non-Hispanic White	280
Native American / Alaskan Native	0
Hispanic	0
Other	9

**Age**
85 and over	20
75 to 84	81
Less than 65	47
65 to 74	163

Average of Total of Conditions of Medicare patients treated by Shimon Tobolsky, MPAS, RPA From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Shimon Tobolsky, MPAS, RPA treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	49
High Cholesterol	44
Stroke	1
Ischemic Heart Disease	23
Depression	15
Chronic Kidney Disease	15
Asthma	7
Osteoporosis	11
Heart Failure	12
Chronic Obstructive Pulmonary Disease	8
Diabetes	35
Atrial Fibrillation	7
Cancer	9
Dementia	5

Education & Training

He is certified by the Physician Assistant National Committee on Certification of Physician Assistants and has a state license in New York.

Board Certification: Physician Assistant National Committee on Certification of Physician Assistants (1998)

Licensed In: New York

Affiliations & Hospitals

Shimon Tobolsky, MPAS, RPA is associated with these hospitals and organizations:

Albany Medical Center

Albany Medical College

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General Payments

These charts describe general payments received by Shimon Tobolsky, MPAS, RPA. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Novo Nordisk Inc	$195 Ozempic $122	RYBELSUS $45	Wegovy $17	Tresiba $12
Abbott Laboratories	$184 FREESTYLE LIBRE 3 $184
AbbVie Inc.	$101 Synthroid $101
Pfizer Inc.	$50 GENOTROPIN $33	COMIRNATY $17
Dexcom, Inc.	$40 DEXCOM G6 TRANSMITTER $40
Other	$49 Rayaldee $20	TZIELD $16	LEQVIO $14

**Types of Payments**
Food and Beverage	$600
Education	$20

Biography

Mr. Shimon Tobolsky's area of specialization is endocrinology. Clinical interests for Mr. Tobolsky include diabetes, thyroid problems, and osteoporosis. He is professionally affiliated with Albany Medical College.