Active NPI 1053387787 Individual Practitioner Male Practitioner

Dr. Thomas A Tirone , MD

Surgery • Clearwater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Tirone, MD is a certified Surgery practicing in Clearwater, FL. With approximately 30 years of clinical experience since graduating from Tulane University School Of Medicine in 1996, Dr. Tirone delivers high-quality medical care to the local community at 1106 DRUID RD SOUTH.

Dr. Tirone is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1106 Druid Rd South
Ste 301

Clearwater, FL 337563841

Telephone 7274465681

Fax 7274616258

Associated Practice Facility / Clinic

🏢 Clearwater Surgical Associates, Pllc Facility NPI 1376787614

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clearwater, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +6.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

13 Specialists

Practicing in Clearwater, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tirone (30 Years) 30 Yrs

Clearwater Specialty Average (24.0 Years) 24.0 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	61	$424.00	$169.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	29	$193.00	$77.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$409.00	$163.62
47562 Removal of gallbladder using an endoscope	19	19	$1698.00	$338.66
49650 Repair of groin hernia using an endoscope	14	14	$1110.00	$198.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	11	$122.00	$48.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$312.00	$124.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$430.19	$172.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	40	$193.08	$78.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$383.98	$164.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	16	$254.56	$125.32
47562 Removal of gallbladder using an endoscope	22	22	$1462.17	$378.89
49650 Repair of groin hernia using an endoscope	20	20	$1119.87	$205.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$289.73	$118.20
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1857.18	$616.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$498.00	$193.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	25	$179.00	$67.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$433.00	$135.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	15	$98.00	$38.79
49650 Repair of groin hernia using an endoscope	17	17	$693.24	$156.41
99213 Established patient office or other outpatient visit, typically 15 minutes	16	12	$120.90	$89.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$182.48	$127.01
47562 Removal of gallbladder using an endoscope	16	16	$1620.38	$555.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$283.10	$157.44
44970 Removal of appendix using an endoscope	12	12	$1612.00	$614.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$503.39	$201.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	26	$180.28	$72.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	21	$97.03	$38.52
47562 Removal of gallbladder using an endoscope	24	24	$1313.19	$479.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$433.00	$136.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$283.10	$169.08
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$120.90	$91.32
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$433.00	$102.57
49650 Repair of groin hernia using an endoscope	15	15	$640.32	$214.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	55	$518.00	$206.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	25	$185.00	$72.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$433.00	$140.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	20	$101.00	$40.23
49650 Repair of groin hernia using an endoscope	25	25	$620.84	$177.76
47562 Removal of gallbladder using an endoscope	23	23	$1431.46	$462.88
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$120.90	$74.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$283.10	$165.55
44310 Creation of small bowel feeding tube	11	11	$2660.89	$474.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$182.48	$108.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	75	$512.07	$203.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	48	$185.26	$73.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	37	$100.51	$39.35
99213 Established patient office or other outpatient visit, typically 15 minutes	40	30	$120.90	$71.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$344.86	$137.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$283.10	$163.83
47562 Removal of gallbladder using an endoscope	30	30	$1447.55	$449.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$182.48	$107.38
49568 Placement of mesh to repair incisional or abdominal hernia	20	19	$461.43	$154.42
49560 Repair of incisional or abdominal hernia	16	16	$1120.87	$327.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$183.72	$103.04
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	13	13	$1853.26	$629.64
49650 Repair of groin hernia using an endoscope	12	12	$966.05	$266.15
49505 Repair of groin hernia (5 years or older)	11	11	$739.40	$301.77
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1635.32	$492.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	46	$155.79	$72.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	67	$449.79	$203.84
99213 Established patient office or other outpatient visit, typically 15 minutes	39	32	$121.98	$70.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	25	$84.57	$39.33
47562 Removal of gallbladder using an endoscope	33	33	$974.60	$368.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$283.10	$160.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$182.48	$99.56
49505 Repair of groin hernia (5 years or older)	17	17	$741.54	$348.68
49650 Repair of groin hernia using an endoscope	14	14	$535.77	$171.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$183.72	$105.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$361.55	$136.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	38	$74.80	$38.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	42	$133.68	$69.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	54	$362.66	$192.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$182.48	$104.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$247.22	$129.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$283.10	$160.13
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$120.90	$70.66
47562 Removal of gallbladder using an endoscope	21	21	$1262.42	$572.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$73.44	$42.03
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$180.90	$93.70
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	13	13	$2681.24	$1128.37
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$422.19	$200.93
44310 Creation of small bowel feeding tube	11	11	$1748.77	$456.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$183.72	$105.26
49650 Repair of groin hernia using an endoscope	11	11	$812.63	$315.82
44625 Closure of large or small bowel opening with bowel removal and reattachment	11	11	$1490.10	$727.66

Medical Specialties & State Licenses

CMS Verified: 2023-04-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME97995

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101-234889

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010088097 (VA)

Medicaid State Provider ID

278124700 (FL)

Commercial Insurance / Payer ID Ptan

AF210Z (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Baycare Medical Group, Inc.

300 Pinellas St, Clearwater, FL 337563804

Phone: 7274618231

Baycare Medical Group, Inc.

8787 Bryan Dairy Rd, Largo, FL 337771253

Phone: 7273945650

Baycare Medical Group, Inc.

1106 Druid Rd S, Clearwater, FL 337563841

Phone: 7274465681

Practice Associates & Co-Workers

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

10 Associated Practitioners

Patricia Tutor , CST

Physician Assistant - Surgical

NPI 1013103464

Dr. Allan Haydon , MD

Specialist

NPI 1285633917

Doctor of Medicine (M.D.)

Dr. Farnsworth May , MD

Specialist

NPI 1467451104

Doctor of Medicine (M.D.)

Dr. Richard Rodriguez , DO

Surgery

NPI 1508865171

Doctor of Osteopathic Medicine (D.O.)

Mary Nementh , CST

Physician Assistant - Surgical

NPI 1609062975

Pauline Hamilton

Physician Assistant - Surgical

NPI 1649466103

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Surgery (License #0101-234889 in VA)

✅

NPI Profile Active September 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2010

Registered at 1106 DRUID RD SOUTH, STE 301, CLEARWATER, FL 337563841 (Tel: 7274465681)

📍

Updated Business Mailing Address September 21, 2010

Registered at 1106 DRUID RD SOUTH, STE 301, CLEARWATER, FL 337563841 (Tel: 7274465681)

👤

Provider Name / Credentials Updated September 21, 2010

Recorded as THOMAS TIRONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2010

Surgery (License #ME97995 in FL)

🟢

Initial NPI Registration & Enumeration February 23, 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: 1053387787

Entity Type:

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

Enumeration Date: February 23, 2006

Last Update: April 18, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1106 Druid Rd South, Ste 301

Clearwater, FL 337563841

Phone: 7274465681

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.