Deactivated NPI 1487658472 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas A Joiner , MD

Specialist • Palm Coast, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Joiner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2005

NPI Deactivation Date December 06, 2023

Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Joiner, MD was a registered Specialist practicing in Palm Coast, FL. Throughout an active medical career spanning 18 years, Dr. Joiner provided care at the practice location at 61 MEMORIAL MEDICAL PKWY until profile deactivation on 2023-12-06.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

61 Memorial Medical Pkwy
Suite 2811

Palm Coast, FL 321645981

Telephone 3865861800

Fax 3865861898

Associated Practice Facility / Clinic

🏢 Larry E. Reneker, D.o., Pa Facility NPI 1689641433

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Palm Coast, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 40.3 Yrs

State Avg: 37.8 Yrs

Regional Practice Density

13 Specialists

Practicing in Palm Coast, FL (3036 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% 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 (2019)

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	238	199	$328.00	$107.04
93000 Routine ekg using at least 12 leads including interpretation and report	145	122	$52.00	$16.73
99213 Established patient office or other outpatient visit, typically 15 minutes	135	122	$224.00	$73.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$499.00	$165.31
93280 Programming of dual lead pacemaker system	12	12	$195.00	$64.31

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	557	379	$322.00	$106.39
93000 Routine ekg using at least 12 leads including interpretation and report	144	117	$52.00	$16.71
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	121	118	$195.00	$73.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$498.00	$163.88
85610 Blood test, clotting time	99	23	$17.00	$4.75
99213 Established patient office or other outpatient visit, typically 15 minutes	57	54	$219.00	$72.26
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	50	50	$68.00	$21.58
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	50	50	$46.00	$14.34
93280 Programming of dual lead pacemaker system	41	30	$170.34	$55.76
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	21	20	$270.00	$82.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$326.00	$103.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$435.00	$144.08
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	13	13	$228.00	$68.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,329	1,068	$35.00	$8.50
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	744	687	$195.00	$63.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	584	248	$318.64	$104.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	359	$321.54	$105.88
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	276	276	$46.00	$14.74
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	276	276	$68.00	$22.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	250	226	$620.00	$202.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	178	178	$498.00	$163.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	170	121	$223.31	$72.25
85610 Blood test, clotting time	155	24	$17.00	$5.28
93000 Routine ekg using at least 12 leads including interpretation and report	142	106	$52.00	$16.75
99213 Established patient office or other outpatient visit, typically 15 minutes	130	115	$219.00	$72.11
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	109	108	$963.00	$259.45
99291 Critical care, first 30-74 minutes	109	56	$836.00	$225.65
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	105	104	$152.00	$12.40
99220 Hospital observation care, typically 70 minutes	90	85	$568.00	$186.20
93280 Programming of dual lead pacemaker system	56	32	$173.93	$56.84
99226 Subsequent observation care, typically 35 minutes per day	51	44	$321.00	$105.16
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	49	47	$1930.00	$633.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$326.00	$107.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	21	$121.00	$39.46
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	44	43	$270.00	$81.39
99225 Subsequent observation care, typically 25 minutes per day	35	33	$223.00	$72.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$435.00	$143.18
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	27	26	$228.00	$74.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$322.00	$78.62
99217 Hospital observation care on day of discharge	17	17	$222.00	$68.76
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	17	15	$1091.00	$242.05
99292 Critical care, each additional 30 minutes	16	16	$377.00	$113.21

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 22797

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

14 Associated Practitioners

Dr. William Ferguson , PhD, MD

Internal Medicine - Nephrology

NPI 1003842071

Doctor of Philosophy (Ph.D.), Doctor of Medicine (M.D.)

Dr. John Cascone , MD

Surgery

NPI 1023097326

Doctor of Medicine (M.D.)

Dr. Jose Garcia Guerra , MD

Psychiatry & Neurology - Neurology

NPI 1083824262

Doctor of Medicine (M.D.)

Dr. Jeffrey Ward , DO

Family Medicine

NPI 1093779175

Doctor of Osteopathic Medicine (D.O.)

Carol Volante , ARNP

Nurse Practitioner - Family

NPI 1316038391

Advanced Registered Nurse Practitioner

Dr. Safwan Shams , MD

Internal Medicine - Gastroenterology

NPI 1316970205

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated December 06, 2023

Record deactivated on December 06, 2023

✅

NPI Profile Active January 21, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 21, 2014

Registered at 61 MEMORIAL MEDICAL PKWY, SUITE 2811, PALM COAST, FL 321645981 (Tel: 3865861800)

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Updated Business Mailing Address January 21, 2014

Registered at 61 MEMORIAL MEDICAL PKWY, SUITE 2811, PALM COAST, FL 321645981 (Tel: 3865861800)

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Provider Name / Credentials Updated January 21, 2014

Recorded as THOMAS JOINER, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2014

Specialist (License #22797 in GA)

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Initial NPI Registration & Enumeration June 08, 2005

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: 1487658472

Entity Type:

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

Enumeration Date: June 08, 2005

Last Update: January 21, 2014

Deactivation Date: December 06, 2023

Update or Correct Profile

Mailing Address

61 Memorial Medical Pkwy, Suite 2811

Palm Coast, FL 321645981

Phone: 3865861800

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.