Active NPI 1164504874 Individual Practitioner Male Practitioner

Dr. Thomas F Drost , MD

General Practice • Wheaton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Drost, MD is a certified General Practice practicing in Wheaton, IL. With approximately 41 years of clinical experience since graduating from University Of Nevada School Of Medicine in 1985, Dr. Drost delivers high-quality medical care to the local community at 721 E ROOSEVELT RD.

Dr. Drost is affiliated with Dpms Medical Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

721 E Roosevelt Rd

Wheaton, IL 601875646

Telephone 6308711800

Fax 6308718118

Associated Practice Facility / Clinic

🏢 Drost Corporation Facility NPI 1962778324

Medicare Profile & Education

Medical School

University Of Nevada School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Wheaton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Wheaton, IL (355 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

31.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Drost (41 Years) 41 Yrs

Wheaton Specialty Average (41.0 Years) 41.0 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	317	46	$160.33	$110.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	38	23	$112.64	$76.42
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$122.17	$82.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	13	13	$199.51	$136.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	321	51	$140.62	$112.67
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	45	45	$137.24	$85.69
11042 Removal of skin and tissue, 20.0 sq cm or less	34	19	$210.57	$134.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	17	$106.38	$79.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	400	67	$140.62	$96.06
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	44	44	$137.24	$94.45
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	34	11	$371.93	$258.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	29	16	$140.62	$96.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	24	$106.38	$73.36
11042 Removal of skin and tissue, 20.0 sq cm or less	22	16	$210.57	$135.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	204	32	$140.62	$96.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	200	39	$140.62	$96.18
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	39	39	$2679.98	$94.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	24	$106.38	$73.39
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	29	19	$106.38	$73.39
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$137.24	$94.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$355.21	$178.93
45300 Diagnostic examination of rectum and large bowel using an endoscope	11	11	$280.54	$105.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	47	16	$140.62	$97.48
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	19	19	$137.24	$97.25
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	11	11	$137.24	$97.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	11	11	$106.38	$74.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	12	$156.02	$77.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$355.21	$173.30
45300 Diagnostic examination of rectum and large bowel using an endoscope	16	15	$280.54	$102.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45300 Diagnostic examination of rectum and large bowel using an endoscope	23	20	$280.54	$108.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$355.21	$169.93
99213 Established patient office or other outpatient visit, typically 15 minutes	20	13	$156.02	$74.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	17	$156.02	$74.03
45300 Diagnostic examination of rectum and large bowel using an endoscope	28	21	$280.54	$109.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$355.21	$167.51

Medical Specialties & State Licenses

CMS Verified: 2020-05-18

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036-109183

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License IL 036109183

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036109183

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

036-109183 (IL)

Commercial Insurance / Payer ID United Healthcare

1702315 (IL)

Commercial Insurance / Payer ID Humana

20-3259708 (IL)

Commercial Insurance / Payer ID Great West

20-3259708 (ID)

Commercial Insurance / Payer ID Railroad Medicare

P00769961 (IL)

Commercial Insurance / Payer ID Bcbs Ppo

01635423 (IL)

Commercial Insurance / Payer ID United Healthcare

20-3259708 (ID)

Hospital & Practice Group Affiliations

Dpms Medical Llc

610 S Maple Ave, Oak Park, IL 603041092

Phone: 3125634120

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Gary Arbuckle , DC

Chiropractor

NPI 1386702769

Doctor of Chiropractic

Carolyn Molskow , PT

Physical Therapist

NPI 1578788360

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 01, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2014

Registered at 721 E ROOSEVELT RD, WHEATON, IL 601875646 (Tel: 6308711800)

📍

Updated Business Mailing Address July 01, 2014

Registered at 721 E ROOSEVELT RD, WHEATON, IL 601875646 (Tel: 6308711800)

👤

Provider Name / Credentials Updated July 01, 2014

Recorded as THOMAS DROST, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2014

Family Medicine (License #036109183 in IL)

🟢

Initial NPI Registration & Enumeration October 20, 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: 1164504874

Entity Type:

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

Enumeration Date: October 20, 2006

Last Update: May 18, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

721 E Roosevelt Rd

Wheaton, IL 601875646

Phone: 6308711800

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.