Active NPI 1326043084 Individual Practitioner Male Practitioner

Dr. Charles W. Thomas , MD

Surgery • Marrero, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Charles Thomas, MD is a certified Surgery practicing in Marrero, LA. With approximately 33 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 1993, Dr. Thomas delivers high-quality medical care to the local community at 1200 AVENUE G.

Dr. Thomas is affiliated with Southern Surgical Specialists, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, 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

1200 Avenue G

Marrero, LA 700723765

Telephone 5043496713

Fax 5043496733

Associated Practice Facility / Clinic

🏢 Gulf Coast Medical Management Facility NPI 1225200298

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Marrero, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +8.2 yrs vs City Avg

City Avg: 24.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Marrero, LA (474 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (33 Years) 33 Yrs

Marrero Specialty Average (24.8 Years) 24.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	57	40	$175.00	$85.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$390.00	$155.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$175.00	$86.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	11	$240.00	$117.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$390.00	$151.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$175.00	$87.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$250.00	$122.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$390.00	$161.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	46	$175.00	$89.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$250.00	$126.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	12	$240.00	$103.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$390.00	$162.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	59	$175.00	$73.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	16	$240.00	$106.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$390.00	$166.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$250.00	$108.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	69	$175.00	$71.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	26	$240.00	$104.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	29	$250.00	$107.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$390.00	$160.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	11	$165.00	$73.02
47562 Removal of gallbladder using an endoscope	12	12	$1810.00	$504.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	126	42	$240.00	$104.87
99213 Established patient office or other outpatient visit, typically 15 minutes	116	70	$175.00	$69.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	19	$165.00	$73.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	40	$319.65	$137.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$390.00	$164.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$250.00	$106.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	76	$175.00	$70.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	37	$165.00	$72.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	57	29	$240.00	$105.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$318.93	$138.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$390.00	$159.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	16	$250.00	$106.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$250.00	$108.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$100.00	$42.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License LA 10747R

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

08251588 (MS)

Medicaid State Provider ID

1996351 (LA)

Hospital & Practice Group Affiliations

Southern Surgical Specialists, Llc

1151 Barataria Blvd, Marrero, LA 700723084

Phone: 5043496713

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Malachi Sheahan, Iii , MD

Surgery - Vascular Surgery

NPI 1093726515

Doctor of Medicine (M.D.)

Dr. Sarah Baker , MD

Colon & Rectal Surgery

NPI 1134482706

Doctor of Medicine (M.D.)

Dr. Robert Cummiskey , MD

Surgery

NPI 1215985213

Doctor of Medicine (M.D.)

Dr. Frank Divincenti , MD

Surgery

NPI 1508861642

Doctor of Medicine (M.D.)

Jayme Boudreaux , NP

Nurse Practitioner - Family

NPI 1598010589

Nurse Practitioner

Dr. Robert Batson , MD

Surgery - Vascular Surgery

NPI 1790780823

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 July 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2016

Registered at 1200 AVENUE G, MARRERO, LA 700723765 (Tel: 5043496713)

📍

Updated Business Mailing Address July 08, 2016

Registered at 1200 AVENUE G, MARRERO, LA 700723765 (Tel: 5048340626)

👤

Provider Name / Credentials Updated July 08, 2016

Recorded as CHARLES THOMAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2016

Surgery (License #10747R in LA)

🟢

Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326043084

Entity Type:

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

Enumeration Date: June 17, 2005

Last Update: July 08, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1200 Avenue G

Marrero, LA 700723765

Phone: 5048340626

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.