Active NPI 1619978327 Individual Practitioner Male Practitioner

Dr. Robert Lee Thomas , MD

Surgery • Middlesboro, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Thomas, MD is a certified Surgery practicing in Middlesboro, KY. With approximately 46 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1980, Dr. Thomas delivers high-quality medical care to the local community at 123 N 19TH ST.

Dr. Thomas is affiliated with Arh Mary Breckinridge Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, biopsy of large bowel using an endoscope, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 N 19th St
Suite B301

Middlesboro, KY 409652865

Telephone 6062487509

Associated Practice Facility / Clinic

🏢 Comprehensive Home Healthcare Services Llc Facility NPI 1942250592

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middlesboro, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs +19.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Middlesboro, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (46 Years) 46 Yrs

Middlesboro Specialty Average (26.3 Years) 26.3 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
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$983.00	$104.15
45380 Biopsy of large bowel using an endoscope	11	11	$1412.00	$127.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$95.00	$47.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$983.00	$99.73
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$162.00	$79.95
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1731.00	$240.60
45380 Biopsy of large bowel using an endoscope	14	14	$1412.00	$90.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	23	$983.00	$98.12
45380 Biopsy of large bowel using an endoscope	17	17	$1412.00	$129.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	15	$95.00	$36.94
45380 Biopsy of large bowel using an endoscope	25	25	$1412.00	$143.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	13	$124.00	$69.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$983.00	$97.26
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1731.00	$236.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	19	$95.00	$38.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$983.00	$98.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$124.00	$70.12
45380 Biopsy of large bowel using an endoscope	13	13	$1412.00	$141.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	31	$95.00	$38.15
45380 Biopsy of large bowel using an endoscope	38	38	$1412.00	$126.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$983.00	$103.65
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$1459.00	$149.58
99224 Subsequent observation care, typically 15 minutes per day	18	13	$95.00	$38.45
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	16	16	$1731.00	$253.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	38	$83.26	$31.93
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$80.83	$57.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	26	$95.00	$37.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$983.00	$108.03
45380 Biopsy of large bowel using an endoscope	26	26	$1412.00	$131.44
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$75.25	$55.48
17110 Destruction of up to 14 skin growths	15	15	$110.16	$79.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	169	113	$49.64	$24.43
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$49.20	$48.27
17110 Destruction of up to 14 skin growths	61	48	$64.80	$61.40
99213 Established patient office or other outpatient visit, typically 15 minutes	58	56	$49.20	$48.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	49	$983.00	$103.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	30	$95.00	$37.53
45380 Biopsy of large bowel using an endoscope	28	28	$1412.00	$151.69
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	19	19	$1459.00	$160.71
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	14	14	$1731.00	$249.93

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 12835

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

3028439 (TN)

Medicaid State Provider ID

64254337 (KY)

Hospital & Practice Group Affiliations

Arh Mary Breckinridge Health Services Inc

80 Hospital Dr, Barbourville, KY 409067363

Arh Mary Breckinridge Health Services Inc

80 Hospital Dr, Barbourville, KY 409067363

Phone: 6065454460

Arh Mary Breckinridge Health Services Inc

3504 W Cumberland Ave, Middlesboro, KY 409652612

Phone: 6062480737

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Charles Moore , MD

Internal Medicine

NPI 1003816372

Doctor of Medicine (M.D.)

Lynda Browning , ANP

Nurse Practitioner - Adult Health

NPI 1083996532

Adult Nurse Practitioner

Marcinia Bailey , APRN

Nurse Practitioner - Family

NPI 1548673155

Advanced Practice Registered Nurse

Aimee Brock , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1699195883

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 17, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2013

Registered at 123 N 19TH ST, SUITE B301, MIDDLESBORO, KY 409652865 (Tel: 6062487509)

📍

Updated Business Mailing Address April 17, 2013

Registered at PO BOX 340, MIDDLESBORO, KY 409650340 (Tel: 6062787509)

👤

Provider Name / Credentials Updated April 17, 2013

Recorded as ROBERT THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2013

Surgery (License #12835 in TN)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1619978327

Entity Type:

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

Enumeration Date: August 03, 2005

Last Update: April 17, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 340

Middlesboro, KY 409650340

Phone: 6062787509

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.