Active NPI 1225011968 Individual Practitioner Male Practitioner

Dr. Thomas Thomas , MD

Orthopaedic Surgery • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Thomas, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Fresno, CA. Practice services are available at 1630 E HERNDON AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of knee, 3 views, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1630 E Herndon Ave

Fresno, CA 937203305

Telephone 5592565200

Fax 5592565376

Associated Practice Facility / Clinic

🏢 Sierra Pacific Surgery Center Llc Facility NPI 1942245725

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fresno, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 21.2 Yrs

State Avg: 28.4 Yrs

Regional Practice Density

50 Specialists

Practicing in Fresno, CA (2527 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

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	342	216	$342.22	$135.61
99213 Established patient office or other outpatient visit, typically 15 minutes	265	192	$232.78	$95.24
73562 X-ray of knee, 3 views	189	110	$112.01	$43.58
73030 X-ray of shoulder, minimum of 2 views	180	105	$93.89	$36.84
20610 Aspiration and/or injection of fluid from large joint	170	114	$202.62	$66.85
36415 Insertion of needle into vein for collection of blood sample	161	136	$21.43	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	147	133	$72.53	$15.60
73502 X-ray of hip, 2-3 views	137	83	$133.56	$49.89
J1040 Injection, methylprednisolone acetate, 80 mg	132	90	$22.27	$10.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$481.78	$175.41
27447 Replacement of knee joint, both sides of knee	47	47	$5116.26	$1313.71
23472 Prosthetic repair of shoulder joint, total shoulder	43	40	$5886.40	$1445.75
23430 Anchoring of biceps tendon	35	33	$2304.00	$371.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	31	$426.48	$185.16
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$6283.33	$1250.69
73221 Mri scan of arm joint without contrast	18	16	$1169.56	$173.14
71046 X-ray of chest, 2 views	14	14	$81.07	$26.62
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	13	11	$1595.00	$1219.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	160	$211.00	$76.40
36415 Insertion of needle into vein for collection of blood sample	143	116	$21.00	$2.92
73030 X-ray of shoulder, minimum of 2 views	129	94	$85.00	$34.65
20610 Aspiration and/or injection of fluid from large joint	126	94	$199.57	$63.96
73562 X-ray of knee, 3 views	120	82	$105.00	$40.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	102	$310.00	$110.39
93000 Routine ekg using at least 12 leads including interpretation and report	115	103	$70.00	$17.43
J1040 Injection, methylprednisolone acetate, 80 mg	95	69	$20.00	$11.46
73502 X-ray of hip, 2-3 views	93	66	$122.00	$48.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$473.00	$170.05
23472 Prosthetic repair of shoulder joint, total shoulder	47	46	$6895.74	$1448.21
23430 Anchoring of biceps tendon	38	37	$2400.00	$378.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	38	$417.00	$151.85
27447 Replacement of knee joint, both sides of knee	25	25	$7600.00	$1351.17
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$6500.00	$1399.23
73221 Mri scan of arm joint without contrast	17	17	$1180.00	$177.35
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	16	14	$1595.00	$1030.09
73721 Mri scan of leg joint without contrast	11	11	$1180.00	$179.18

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	95	89	$310.00	$107.60
73562 X-ray of knee, 3 views	72	58	$105.00	$38.03
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$211.00	$74.04
73030 X-ray of shoulder, minimum of 2 views	51	39	$85.00	$29.74
20610 Aspiration and/or injection of fluid from large joint	49	42	$210.12	$61.30
36415 Insertion of needle into vein for collection of blood sample	45	41	$21.00	$2.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$473.00	$162.56
73502 X-ray of hip, 2-3 views	35	31	$122.00	$41.06
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$70.00	$17.04
J1040 Injection, methylprednisolone acetate, 80 mg	24	21	$20.00	$11.74
J1030 Injection, methylprednisolone acetate, 40 mg	22	11	$15.00	$6.14
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	17	12	$1595.00	$1082.40
73721 Mri scan of leg joint without contrast	12	12	$1180.00	$170.37
27447 Replacement of knee joint, both sides of knee	12	12	$5826.67	$958.59
73221 Mri scan of arm joint without contrast	11	11	$1180.00	$170.37

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License CA G61781

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Washington

0161201 (CA)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Zachary Hill , MD

Orthopaedic Surgery

NPI 1003347840

Doctor of Medicine (M.D.)

Dr. Eric Hanson , MD

Orthopaedic Surgery

NPI 1013990811

Doctor of Medicine (M.D.)

Dr. Paramjeet Gill , MD

Orthopaedic Surgery

NPI 1033183140

Doctor of Medicine (M.D.)

Dr. Anirudh Sharma , MD

Family Medicine

NPI 1043976285

Doctor of Medicine (M.D.)

Dr. Connor Telles , MD

Orthopaedic Surgery

NPI 1053595280

Doctor of Medicine (M.D.)

Dr. Jerome Dunklin , MD

Orthopaedic Surgery

NPI 1063403442

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203305 (Tel: 5592565200)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1630 E HERNDON AVE, FRESNO, CA 937203305 (Tel: 5592565200)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #G61781 in CA)

🟢

Initial NPI Registration & Enumeration November 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1225011968

Entity Type:

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

Enumeration Date: November 28, 2005

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1630 E Herndon Ave

Fresno, CA 937203305

Phone: 5592565200

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.