Active NPI 1558393470 Individual Practitioner Male Practitioner

Dr. John S Thomas , MD

Surgery • Opelika, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Thomas, MD is a certified Surgery practicing in Opelika, AL. With approximately 42 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1984, Dr. Thomas delivers high-quality medical care to the local community at 121 N 20TH ST.

Dr. Thomas is affiliated with Surgical Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

121 N 20th St
Bldg 3

Opelika, AL 368015449

Telephone 3347456271

Fax 3347429879

Associated Practice Facility / Clinic

🏢 Surgical Clinic Pc Facility NPI 1295762540

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Opelika, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +13.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Opelika, AL (471 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (42 Years) 42 Yrs

Opelika Specialty Average (28.3 Years) 28.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	361	175	$150.00	$115.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	21	$60.00	$48.22
93880 Ultrasound of both sides of head and neck blood flow	35	34	$285.00	$165.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$140.00	$106.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$200.00	$155.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$200.00	$169.14
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	13	12	$365.00	$140.41
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1810.00	$679.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	170	$150.00	$116.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$140.00	$102.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	12	$60.00	$47.54
99213 Established patient office or other outpatient visit, typically 15 minutes	33	19	$105.00	$74.29
93880 Ultrasound of both sides of head and neck blood flow	28	28	$285.00	$173.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$200.00	$152.38
93923 Complete ultrasound study of arm and leg arteries	16	12	$195.00	$113.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$200.00	$166.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1810.00	$677.41
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	11	11	$365.00	$144.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	127	$136.06	$121.47
99213 Established patient office or other outpatient visit, typically 15 minutes	179	99	$91.34	$82.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$140.00	$107.01
93880 Ultrasound of both sides of head and neck blood flow	34	34	$285.00	$180.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	16	$110.91	$99.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$178.57	$178.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$200.00	$157.73
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1810.00	$712.25
35301 Removal of blood clot and portion of artery of neck	12	12	$2745.00	$1114.30
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$685.00	$220.86
38900 Lymph node imaging during surgery	11	11	$235.00	$127.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	224	114	$90.00	$80.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	140	$135.00	$119.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$140.00	$107.29
93880 Ultrasound of both sides of head and neck blood flow	40	39	$285.00	$186.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	19	$110.00	$100.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$175.00	$176.54
17000 Destruction of skin growth	15	12	$103.00	$58.91
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	11	$365.00	$168.64
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$685.00	$232.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$200.00	$162.71
38900 Lymph node imaging during surgery	12	12	$235.00	$137.17
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	11	11	$165.00	$84.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	148	$135.00	$101.80
99213 Established patient office or other outpatient visit, typically 15 minutes	200	127	$90.00	$69.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$140.00	$99.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	28	$110.00	$101.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$175.00	$175.24
93880 Ultrasound of both sides of head and neck blood flow	41	40	$285.00	$184.42
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	31	28	$20.00	$13.49
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	16	$95.00	$18.42
35301 Removal of blood clot and portion of artery of neck	17	15	$2745.00	$1112.29
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$1810.00	$630.26
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$420.00	$283.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	206	$135.00	$99.88
99213 Established patient office or other outpatient visit, typically 15 minutes	203	123	$90.00	$65.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$140.00	$98.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	27	$111.95	$98.92
93880 Ultrasound of both sides of head and neck blood flow	44	44	$267.50	$183.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	40	$175.36	$173.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$200.00	$146.43
35301 Removal of blood clot and portion of artery of neck	15	15	$2850.80	$1054.60
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1806.67	$665.28
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	14	14	$90.71	$15.64
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$384.29	$159.39
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	11	$245.00	$71.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	248	208	$135.00	$98.30
99213 Established patient office or other outpatient visit, typically 15 minutes	241	156	$90.00	$65.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	120	46	$166.00	$97.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	67	$288.68	$181.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$140.00	$98.95
93880 Ultrasound of both sides of head and neck blood flow	52	52	$230.00	$180.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$200.00	$143.22
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	19	$85.00	$17.01
93923 Complete ultrasound study of arm and leg arteries	17	15	$259.00	$118.99
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	17	16	$419.00	$160.61
35301 Removal of blood clot and portion of artery of neck	16	14	$3274.00	$1051.98
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	13	$435.00	$275.02
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	12	$208.00	$109.53
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1800.00	$658.48
49505 Repair of groin hernia (5 years or older)	11	11	$995.00	$478.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	307	$135.00	$94.89
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	121	45	$187.00	$95.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$200.00	$146.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	80	$365.00	$184.73
93880 Ultrasound of both sides of head and neck blood flow	60	58	$230.00	$175.51
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$90.00	$63.72
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	23	$200.00	$130.46
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	23	23	$1897.30	$633.20
93923 Complete ultrasound study of arm and leg arteries	20	18	$259.00	$111.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$140.00	$96.11
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	19	17	$419.00	$155.31
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$85.00	$17.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	17	17	$435.00	$299.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	14	$208.00	$97.65
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$285.00	$111.53
36200 Insertion of catheter into aorta	15	14	$439.00	$63.76
35301 Removal of blood clot and portion of artery of neck	14	13	$3274.00	$1022.35
49505 Repair of groin hernia (5 years or older)	13	13	$995.00	$481.72
19125 Removal of breast growth, open procedure	12	12	$818.00	$406.10

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AL 00012101

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000080792 (AL)

Commercial Insurance / Payer ID Railroad Medicare

020021630 (AL)

Commercial Insurance / Payer ID Blue Cross-Blue Shield

51080792 (AL)

Hospital & Practice Group Affiliations

Surgical Clinic Pc

121 N 20th St, Opelika, AL 368015454

Phone: 3347456271

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Dr. Scott Gilchrist , MD

Surgery

NPI 1053975805

Doctor of Medicine (M.D.)

Dr. Howard Harper , MD

Surgery

NPI 1184654592

Doctor of Medicine (M.D.)

Dr. James Lock , MD

Surgery

NPI 1194757179

Doctor of Medicine (M.D.)

Dr. Morgan Hull , MD

Surgery

NPI 1326434895

Doctor of Medicine (M.D.)

Dr. Jacqueline Morris , MD

Surgery

NPI 1407436736

Doctor of Medicine (M.D.)

Dr. Robert Brown , MD

Plastic Surgery

NPI 1487686515

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 08, 2013

Registered at 121 N 20TH ST, BLDG 3, OPELIKA, AL 368015449 (Tel: 3347456271)

📍

Updated Business Mailing Address August 08, 2013

Registered at 121 N 20TH ST, BLDG 3, OPELIKA, AL 368015449 (Tel: 3347456271)

👤

Provider Name / Credentials Updated August 08, 2013

Recorded as JOHN THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2013

Surgery (License #00012101 in AL)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558393470

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: August 08, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

121 N 20th St, Bldg 3

Opelika, AL 368015449

Phone: 3347456271

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.