Active NPI 1841268323 Individual Practitioner Male Practitioner

Dr. Thomas Wayne Lewis , MD

Internal Medicine • Vero Beach, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Lewis, MD is a certified Internal Medicine practicing in Vero Beach, FL. With approximately 33 years of clinical experience since graduating from University Of Miami, Lm Miller School Of Medicine in 1993, Dr. Lewis delivers high-quality medical care to the local community at 1715 37TH PL.

Dr. Lewis is affiliated with Indian River Primary Care and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1715 37th Pl
Second Floor

Vero Beach, FL 329604502

Telephone 7727942222

Fax 7727940045

Associated Practice Facility / Clinic

🏢 Active Lifestyles Wellness & Performance Ctr Facility NPI 1154378875

Medicare Profile & Education

Medical School

University Of Miami, Lm Miller School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Vero Beach, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +13.3 yrs vs City Avg

City Avg: 19.7 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

91 Specialists

Practicing in Vero Beach, FL (10650 Statewide)

Telehealth Adoption Rate

26.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lewis (33 Years) 33 Yrs

Vero Beach Specialty Average (19.7 Years) 19.7 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,701	744	$132.27	$63.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,624	711	$266.82	$129.17
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,242	563	$99.93	$48.24
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	815	358	$275.24	$133.31
99497 Advance care planning, first 30 minutes	344	334	$176.97	$82.65
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	302	137	$145.43	$72.59
17003 Destruction of precancer skin growth, 2-14 growths	219	33	$13.86	$6.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	217	93	$143.15	$74.81
G0442 Annual alcohol misuse screening, 5 to 15 minutes	187	187	$38.68	$18.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$271.78	$130.19
G0444 Annual depression screening, 5 to 15 minutes	183	183	$38.00	$18.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	119	36	$29.68	$14.28
93000 Routine ekg using at least 12 leads including interpretation and report	97	91	$30.28	$14.55
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	94	22	$8.17	$1.29
99213 Established patient office or other outpatient visit, typically 15 minutes	59	54	$190.16	$91.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	55	39	$187.37	$108.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	44	$7.92	$0.98
17000 Destruction of skin growth	47	33	$142.00	$66.60
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	43	43	$39.07	$21.90
G0008 Administration of influenza virus vaccine	43	43	$50.00	$32.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	40	37	$265.22	$133.18
20552 Injections of trigger points in 1 or 2 muscles	32	29	$115.47	$51.83
99306 Initial nursing facility visit, typically 45 minutes per day	27	26	$341.49	$182.12
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	22	22	$21.82	$16.54
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	19	19	$55.71	$25.33
99496 Transitional care management services for problem of high complexity	17	16	$578.01	$278.75
99495 Transitional care management services for problem of at least moderate complexity	13	13	$429.59	$207.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,894	771	$132.27	$63.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,880	750	$266.82	$130.13
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,686	540	$99.93	$47.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	528	183	$143.15	$76.21
99497 Advance care planning, first 30 minutes	446	422	$176.97	$84.18
17003 Destruction of precancer skin growth, 2-14 growths	370	50	$13.86	$6.54
G0442 Annual alcohol misuse screening, 5 to 15 minutes	250	250	$38.68	$18.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	235	235	$271.78	$130.16
G0444 Annual depression screening, 5 to 15 minutes	231	231	$38.00	$18.52
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	149	116	$275.24	$133.37
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	122	75	$145.43	$71.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	111	79	$187.37	$108.60
93000 Routine ekg using at least 12 leads including interpretation and report	104	98	$30.28	$14.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	97	46	$29.68	$14.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	93	67	$6.62	$1.06
17000 Destruction of skin growth	77	54	$142.00	$65.97
99306 Initial nursing facility visit, typically 45 minutes per day	74	65	$341.49	$185.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	45	$265.22	$136.35
20552 Injections of trigger points in 1 or 2 muscles	47	37	$115.47	$53.73
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$190.16	$92.04
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	40	17	$8.00	$1.49
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	32	32	$55.71	$26.31
G0008 Administration of influenza virus vaccine	23	23	$50.00	$31.56
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$59.13	$21.90
99496 Transitional care management services for problem of high complexity	21	20	$578.01	$280.42
20610 Aspiration and/or injection of fluid from large joint	20	18	$140.12	$64.42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$349.43	$167.86
99495 Transitional care management services for problem of at least moderate complexity	18	18	$429.59	$206.86
93880 Ultrasound of both sides of head and neck blood flow	17	17	$321.31	$154.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	16	16	$279.70	$121.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$349.43	$168.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	4,266	719	$128.60	$65.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,197	754	$259.74	$131.80
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,917	527	$94.03	$48.89
99497 Advance care planning, first 30 minutes	435	387	$175.52	$87.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	411	99	$147.30	$73.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	324	324	$266.92	$133.72
G0444 Annual depression screening, 5 to 15 minutes	313	313	$37.08	$18.76
G0442 Annual alcohol misuse screening, 5 to 15 minutes	300	300	$38.68	$18.98
17003 Destruction of precancer skin growth, 2-14 growths	215	36	$13.54	$6.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	214	141	$143.15	$70.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	162	97	$187.37	$92.55
93000 Routine ekg using at least 12 leads including interpretation and report	134	126	$30.66	$15.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	124	66	$29.37	$14.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	111	80	$4.12	$1.11
99306 Initial nursing facility visit, typically 45 minutes per day	102	93	$341.49	$168.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	85	85	$406.48	$205.48
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	82	82	$16.82	$8.55
J0696 Injection, ceftriaxone sodium, per 250 mg	60	13	$1.48	$0.50
17000 Destruction of skin growth	50	37	$139.81	$68.99
99496 Transitional care management services for problem of high complexity	46	41	$551.42	$286.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	34	$113.77	$54.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	25	$205.55	$106.00
20610 Aspiration and/or injection of fluid from large joint	30	27	$139.22	$67.05
20552 Injections of trigger points in 1 or 2 muscles	30	25	$115.16	$55.42
J1100 Injection, dexamethasone sodium phosphate, 1 mg	29	21	$2.59	$0.12
G0008 Administration of influenza virus vaccine	25	25	$47.60	$30.10
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	25	$271.30	$130.21
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$349.43	$172.15
93880 Ultrasound of both sides of head and neck blood flow	19	18	$313.42	$159.11
99495 Transitional care management services for problem of at least moderate complexity	19	18	$422.17	$212.70
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	18	18	$50.00	$31.63
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	14	$265.22	$130.90
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$187.94	$94.01
81003 Automated urinalysis test	14	14	$7.29	$2.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,177	742	$87.22	$42.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,411	779	$226.93	$135.14
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	2,366	591	$45.00	$38.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	798	187	$151.86	$74.90
99497 Advance care planning, first 30 minutes	376	339	$178.60	$88.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	307	307	$239.60	$137.60
G0444 Annual depression screening, 5 to 15 minutes	299	299	$30.10	$19.15
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	171	158	$17.82	$8.68
93000 Routine ekg using at least 12 leads including interpretation and report	159	153	$35.84	$15.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	130	119	$424.67	$208.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	104	45	$29.73	$14.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	87	75	$2.72	$1.29
99213 Established patient office or other outpatient visit, typically 15 minutes	84	78	$155.90	$95.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	72	$292.50	$142.42
17003 Destruction of precancer skin growth, 2-14 growths	67	38	$12.30	$6.63
G0008 Administration of influenza virus vaccine	61	61	$30.00	$17.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	61	61	$30.00	$20.53
17000 Destruction of skin growth	57	42	$137.18	$68.89
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	54	54	$275.66	$132.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	32	$218.88	$107.51
99496 Transitional care management services for problem of high complexity	37	34	$506.54	$288.63
20552 Injections of trigger points in 1 or 2 muscles	37	35	$120.04	$58.21
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	28	28	$55.00	$28.08
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	24	21	$188.30	$93.32
20610 Aspiration and/or injection of fluid from large joint	23	21	$134.74	$69.53
99495 Transitional care management services for problem of at least moderate complexity	21	19	$382.58	$213.17
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$111.12	$54.92
G0442 Annual alcohol misuse screening, 5 to 15 minutes	19	19	$60.00	$19.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$352.72	$173.81
93880 Ultrasound of both sides of head and neck blood flow	13	13	$262.93	$165.81
81003 Automated urinalysis test	12	11	$5.85	$2.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	11	11	$190.16	$94.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	4,918	742	$87.22	$43.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,113	761	$226.79	$112.82
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	1,491	488	$112.18	$38.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	816	187	$151.51	$76.02
99497 Advance care planning, first 30 minutes	507	447	$178.60	$88.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	364	364	$238.99	$119.70
G0444 Annual depression screening, 5 to 15 minutes	335	335	$30.10	$18.70
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	182	174	$130.36	$64.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	165	83	$29.75	$14.69
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	153	147	$17.82	$8.93
99213 Established patient office or other outpatient visit, typically 15 minutes	145	123	$156.62	$78.06
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	143	108	$2.71	$1.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	120	117	$292.50	$146.52
93000 Routine ekg using at least 12 leads including interpretation and report	108	104	$35.77	$17.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	91	49	$145.00	$72.57
G0442 Annual alcohol misuse screening, 5 to 15 minutes	79	79	$48.34	$18.59
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	78	78	$47.40	$28.48
G0008 Administration of influenza virus vaccine	76	76	$28.91	$16.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	67	39	$190.16	$95.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	48	$426.78	$213.63
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	47	47	$351.34	$176.64
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	45	45	$55.00	$27.65
20552 Injections of trigger points in 1 or 2 muscles	36	34	$120.04	$59.98
17000 Destruction of skin growth	35	28	$137.18	$68.50
99496 Transitional care management services for problem of high complexity	35	31	$506.54	$240.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	35	34	$172.40	$119.17
G0009 Administration of pneumococcal vaccine	35	34	$27.76	$17.31
17003 Destruction of precancer skin growth, 2-14 growths	28	22	$12.30	$6.13
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	15	$2.59	$1.86
20610 Aspiration and/or injection of fluid from large joint	23	20	$134.74	$67.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	19	$111.12	$55.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	18	$218.88	$109.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	14	14	$275.66	$130.45
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	13	$270.04	$135.25
99495 Transitional care management services for problem of at least moderate complexity	12	12	$382.58	$191.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,411	716	$69.24	$43.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,999	751	$180.92	$113.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,088	234	$122.39	$76.89
99497 Advance care planning, first 30 minutes	488	466	$142.52	$89.27
G0444 Annual depression screening, 5 to 15 minutes	463	463	$30.05	$18.70
G0442 Annual alcohol misuse screening, 5 to 15 minutes	462	462	$30.02	$18.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	448	448	$194.48	$121.62
36415 Insertion of needle into vein for collection of blood sample	277	249	$5.44	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	223	125	$28.67	$17.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	205	156	$2.48	$1.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	204	195	$14.25	$8.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	176	168	$231.29	$145.42
99213 Established patient office or other outpatient visit, typically 15 minutes	168	124	$122.88	$77.34
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	143	140	$104.82	$65.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	135	74	$115.48	$72.44
93000 Routine ekg using at least 12 leads including interpretation and report	75	72	$28.63	$17.98
G0008 Administration of influenza virus vaccine	63	63	$27.91	$17.00
J0696 Injection, ceftriaxone sodium, per 250 mg	60	15	$1.53	$0.58
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	58	58	$33.67	$27.57
17003 Destruction of precancer skin growth, 2-14 growths	57	28	$9.76	$6.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	51	$341.19	$213.87
20552 Injections of trigger points in 1 or 2 muscles	37	33	$95.55	$58.10
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	35	35	$43.23	$27.23
20610 Aspiration and/or injection of fluid from large joint	34	30	$105.15	$64.37
17000 Destruction of skin growth	34	29	$111.15	$69.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	33	24	$174.13	$109.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	25	$88.96	$55.77
69209 Removal of impacted ear wax by washing	19	15	$23.32	$15.48
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$286.27	$173.73
G0009 Administration of pneumococcal vaccine	18	18	$29.42	$17.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$169.50	$109.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	14	$154.46	$96.42
99496 Transitional care management services for problem of high complexity	15	14	$384.55	$236.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	5,797	719	$60.42	$43.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,062	767	$160.13	$110.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,285	234	$107.81	$76.04
36415 Insertion of needle into vein for collection of blood sample	1,111	608	$4.30	$2.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	724	223	$2.53	$1.83
G0442 Annual alcohol misuse screening, 5 to 15 minutes	497	497	$26.96	$18.77
G0444 Annual depression screening, 5 to 15 minutes	494	494	$26.96	$18.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	483	483	$174.07	$120.31
99213 Established patient office or other outpatient visit, typically 15 minutes	424	270	$108.82	$75.45
99497 Advance care planning, first 30 minutes	421	413	$127.48	$87.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	363	190	$37.45	$20.97
J0696 Injection, ceftriaxone sodium, per 250 mg	256	48	$2.86	$0.61
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	190	174	$12.70	$8.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	161	151	$206.47	$143.57
17003 Destruction of precancer skin growth, 2-14 growths	157	30	$11.31	$5.64
G0008 Administration of influenza virus vaccine	138	137	$37.45	$20.76
90756 Vaccine for influenza for injection into muscle	138	137	$29.63	$22.17
93000 Routine ekg using at least 12 leads including interpretation and report	107	96	$25.68	$17.53
G0009 Administration of pneumococcal vaccine	74	74	$37.45	$20.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	74	74	$128.37	$105.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	65	30	$103.64	$72.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	59	$304.70	$212.21
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	62	56	$38.77	$26.70
20552 Injections of trigger points in 1 or 2 muscles	61	58	$109.27	$57.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	41	$156.02	$108.80
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	54	54	$338.83	$137.70
17000 Destruction of skin growth	43	35	$132.19	$69.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	29	29	$255.18	$177.27
20610 Aspiration and/or injection of fluid from large joint	29	27	$120.88	$63.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	26	14	$6.85	$1.91
93880 Ultrasound of both sides of head and neck blood flow	24	24	$305.02	$168.13
69209 Removal of impacted ear wax by washing	22	17	$19.29	$15.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$216.17	$150.26
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	18	18	$91.32	$65.54
20605 Aspiration and/or injection of medium joint or joint capsule	16	13	$99.41	$51.94
76705 Limited ultrasound scan of abdomen	13	13	$136.79	$63.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$136.37	$95.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	4,731	692	$55.08	$43.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,109	770	$145.88	$110.18
36415 Insertion of needle into vein for collection of blood sample	1,524	676	$6.00	$2.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,225	243	$98.44	$74.71
99213 Established patient office or other outpatient visit, typically 15 minutes	643	350	$99.16	$75.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	499	499	$24.52	$18.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	434	228	$2.31	$1.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	431	431	$158.21	$118.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	422	190	$34.14	$25.90
G0444 Annual depression screening, 5 to 15 minutes	418	418	$24.52	$18.40
J0696 Injection, ceftriaxone sodium, per 250 mg	416	72	$2.60	$0.64
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	334	327	$83.20	$65.41
17003 Destruction of precancer skin growth, 2-14 growths	265	49	$10.27	$5.82
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	206	196	$13.90	$10.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	179	156	$188.11	$143.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	157	149	$11.58	$8.79
93000 Routine ekg using at least 12 leads including interpretation and report	133	127	$23.41	$17.56
80053 Blood test, comprehensive group of blood chemicals	125	125	$18.89	$12.44
99497 Advance care planning, first 30 minutes	100	100	$116.16	$82.71
80061 Blood test, lipids (cholesterol and triglycerides)	87	87	$23.95	$14.26
81003 Automated urinalysis test	83	80	$12.40	$3.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	79	79	$232.76	$175.88
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	70	22	$6.23	$3.43
17000 Destruction of skin growth	65	54	$120.42	$68.47
20552 Injections of trigger points in 1 or 2 muscles	65	55	$99.55	$57.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	49	$144.26	$108.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	53	53	$308.69	$168.06
84443 Blood test, thyroid stimulating hormone (TSH)	46	46	$30.03	$22.59
Q2035 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria)	44	44	$22.10	$17.34
G0008 Administration of influenza virus vaccine	44	44	$34.13	$25.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$277.60	$211.26
20610 Aspiration and/or injection of fluid from large joint	33	25	$110.12	$63.59
99496 Transitional care management services for problem of high complexity	29	27	$313.90	$236.96
93880 Ultrasound of both sides of head and neck blood flow	25	25	$277.90	$152.84
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$32.88	$24.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	21	$73.05	$55.63
69209 Removal of impacted ear wax by washing	23	20	$17.58	$15.11
J1100 Injection, dexamethasone sodium phosphate, 1 mg	21	18	$2.60	$0.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	20	$196.96	$144.36
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	20	20	$35.32	$26.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$226.07	$172.35
94640 Inhalation treatment for airway obstruction or sputum production	19	14	$25.25	$19.01
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	19	14	$0.22	$0.15
82570 Creatinine level to test for kidney function or muscle injury	18	18	$9.17	$6.96
82044 Urine microalbumin (protein) analysis	18	18	$8.10	$6.15
76705 Limited ultrasound scan of abdomen	17	17	$124.62	$63.78
G0009 Administration of pneumococcal vaccine	15	15	$34.13	$25.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$113.04	$93.07
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$14.98	$11.37

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME0068345

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Indian River Primary Care

1715 37th Place, Vero Bch, FL 329604502

Phone: 7727942222

Practice Associates & Co-Workers

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

8 Associated Practitioners

Katelyn Reismiller , PA-C

Physician Assistant

NPI 1215288121

Physician Assistant (Certified)

Dr. Charles Fischman , MD

Internal Medicine

NPI 1255314365

Doctor of Medicine (M.D.)

Dr. William Arnold , MD

Family Medicine

NPI 1417990821

Doctor of Medicine (M.D.)

Allison Delisi , ARNP

Nurse Practitioner - Family

NPI 1558743674

Advanced Registered Nurse Practitioner

Dr. Maria Pimenova , MD

Internal Medicine

NPI 1619463064

Doctor of Medicine (M.D.)

Dr. Nicholas Tisdale , MD

Internal Medicine

NPI 1962023754

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 February 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 23, 2010

Registered at 1715 37TH PL, SECOND FLOOR, VERO BEACH, FL 329604502 (Tel: 7727942222)

📍

Updated Business Mailing Address February 23, 2010

Registered at 1715 37TH PL, SECOND FLOOR, VERO BEACH, FL 329604502 (Tel: 7727942222)

👤

Provider Name / Credentials Updated February 23, 2010

Recorded as THOMAS LEWIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2010

Internal Medicine (License #ME0068345 in FL)

🟢

Initial NPI Registration & Enumeration March 09, 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: 1841268323

Entity Type:

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

Enumeration Date: March 09, 2006

Last Update: February 23, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1715 37th Pl, Second Floor

Vero Beach, FL 329604502

Phone: 7727942222

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.