Active NPI 1215294434 Individual Practitioner Male Practitioner

Dr. Michael Richard Tholen , MD

General Practice • Mount Airy, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Tholen, MD is a certified General Practice practicing in Mount Airy, MD. With approximately 14 years of clinical experience since graduating from Creighton University School Of Medicine in 2012, Dr. Tholen delivers high-quality medical care to the local community at 2406 CONNOR CIR.

Dr. Tholen is affiliated with P. Pham And J. Briggs Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2406 Connor Cir

Mount Airy, MD 217715960

Telephone 6128505919

Fax 3016823515

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Mount Airy, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs Matches City Avg

City Avg: 14.0 Yrs

State Avg: 28.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Mount Airy, MD (421 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tholen (14 Years) 14 Yrs

Mount Airy Specialty Average (14.0 Years) 14.0 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
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$33.00	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$250.00	$127.77
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$125.00	$90.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$382.81	$159.25
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	15	$200.00	$34.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$200.00	$111.05

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	515	473	$175.00	$134.49
87400 Detection test for Influenza virus, A or B	482	233	$50.00	$13.85
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	254	245	$75.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$200.00	$176.07
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	130	126	$32.00	$16.20
81003 Automated urinalysis test	129	122	$35.00	$2.20
71046 X-ray of chest, 2 views	79	77	$75.00	$34.08
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$135.00	$93.85
94010 Test to measure expiratory airflow and volume	46	46	$73.00	$28.82
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$64.00	$15.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$190.00	$119.07
73630 X-ray of foot, minimum of 3 views	13	13	$64.00	$34.34
73562 X-ray of knee, 3 views	13	12	$67.00	$40.86

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	292	273	$175.00	$136.75
87804 Detection test by immunoassay with direct visual observation for influenza virus	218	106	$50.00	$16.33
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	203	198	$75.00	$40.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$200.00	$180.00
81003 Automated urinalysis test	78	76	$35.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	63	63	$132.62	$98.34
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	48	46	$32.00	$16.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$190.00	$121.68
71046 X-ray of chest, 2 views	36	35	$75.00	$35.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	27	$207.00	$192.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$225.00	$222.19
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$64.00	$15.55

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	324	307	$175.00	$139.99
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	248	241	$75.00	$45.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	226	110	$50.00	$16.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$190.00	$122.01
99213 Established patient office or other outpatient visit, typically 15 minutes	88	88	$125.11	$99.02
81003 Automated urinalysis test	61	61	$35.00	$2.25
82570 Creatinine level to test for kidney function or muscle injury	60	60	$25.00	$5.18
36415 Insertion of needle into vein for collection of blood sample	57	57	$6.00	$3.00
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	42	41	$32.00	$16.53
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	40	40	$75.00	$45.23
71046 X-ray of chest, 2 views	38	38	$75.00	$37.11
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	20	20	$75.00	$41.38
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$64.00	$16.19

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	240	218	$175.10	$116.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$189.55	$116.54
82570 Creatinine level to test for kidney function or muscle injury	97	93	$25.00	$5.16
81003 Automated urinalysis test	97	93	$35.00	$2.24
99213 Established patient office or other outpatient visit, typically 15 minutes	90	89	$126.67	$80.27
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	84	84	$76.19	$45.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	82	41	$50.00	$16.45
36415 Insertion of needle into vein for collection of blood sample	57	57	$6.00	$3.00
86328 Test for detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, qualitative or semiquantitative	56	56	$75.00	$45.23
71046 X-ray of chest, 2 views	53	51	$75.00	$35.88
94010 Test to measure expiratory airflow and volume	31	31	$73.00	$39.15
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$64.00	$18.58
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	26	$32.00	$16.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	337	307	$125.45	$79.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$190.00	$117.76
81003 Automated urinalysis test	116	113	$35.00	$2.44
82570 Creatinine level to test for kidney function or muscle injury	115	112	$25.00	$5.63
94010 Test to measure expiratory airflow and volume	94	91	$73.00	$38.31
71046 X-ray of chest, 2 views	57	57	$75.00	$34.66
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	56	56	$32.00	$15.91
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$64.00	$18.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	16	$30.00	$18.20
73630 X-ray of foot, minimum of 3 views	13	13	$64.00	$34.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$175.00	$110.54
73562 X-ray of knee, 3 views	13	12	$67.00	$41.28
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	11	11	$20.00	$6.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	332	$125.56	$78.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	294	294	$190.00	$115.50
82570 Creatinine level to test for kidney function or muscle injury	127	121	$25.00	$6.26
81003 Automated urinalysis test	127	121	$35.00	$2.71
94010 Test to measure expiratory airflow and volume	108	104	$73.00	$39.44
71046 X-ray of chest, 2 views	94	91	$75.00	$32.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	70	70	$32.00	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	50	50	$64.00	$18.36
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	22	$50.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	22	$30.00	$22.42
73562 X-ray of knee, 3 views	21	19	$67.00	$38.68
29125 Application of nonmoveable forearm to hand splint	17	17	$65.00	$54.04
73130 X-ray of hand, minimum of 3 views	17	16	$64.00	$35.02
A4565 Slings	15	15	$20.00	$8.53
90471 Administration of 1 vaccine	15	15	$25.00	$22.24
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	14	14	$15.00	$0.05
73630 X-ray of foot, minimum of 3 views	14	14	$64.00	$32.27
81025 Urine pregnancy test	13	13	$31.00	$8.44
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	13	13	$20.00	$6.70
73610 X-ray of ankle, minimum of 3 views	11	11	$75.00	$34.54
29130 Application of non-moveable, hinged finger splint	11	11	$55.00	$35.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	208	$125.00	$76.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$190.07	$113.74
82570 Creatinine level to test for kidney function or muscle injury	61	60	$25.00	$5.59
81003 Automated urinalysis test	61	60	$35.00	$3.02
94010 Test to measure expiratory airflow and volume	48	48	$73.00	$38.19
71020 X-ray of chest, 2 views, front and side	44	44	$75.00	$29.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	26	26	$32.00	$16.06
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$64.00	$17.95
73610 X-ray of ankle, minimum of 3 views	12	12	$75.00	$33.57

Medical Specialties & State Licenses

CMS Verified: 2026-03-30

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MD D0081849

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

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MD D0081849

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License MD D0081849

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 MD D0081849

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.

Hospital & Practice Group Affiliations

P. Pham And J. Briggs Llc

5100 Buckeystown Pike, Frederick, MD 217048337

Phone: 3016828888

Practice Associates & Co-Workers

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

2 Associated Practitioners

William Kelly , PA

Physician Assistant

NPI 1194766394

Physician Assistant

Ryann Leith , CRNP, FNP-BC

Nurse Practitioner - Family

NPI 1437715257

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

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location March 30, 2026

Registered at 2406 CONNOR CIR, MOUNT AIRY, MD 217715960 (Tel: 6128505919)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2026

Emergency Medicine (License #D0081849 in MD)

📍

Updated Business Mailing Address September 24, 2025

Registered at 2406 CONNOR CIR, MOUNT AIRY, MD 217715960 (Tel: 6128505919)

📍

Updated Practice Location July 14, 2025

Registered at 5100 BUCKEYSTOWN PIKE STE 186, FREDERICK, MD 217048337 (Tel: 3016828888)

✅

NPI Profile Active August 17, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 17, 2016

Registered at 5 BEL AIR SOUTH PKWY STE 1535, BEL AIR, MD 210153816 (Tel: 4105690044)

📍

Updated Business Mailing Address August 17, 2016

Registered at 7983 MILLSTREAM CT, ELKRIDGE, MD 210756144 (Tel: 6128505919)

👤

Provider Name / Credentials Updated August 17, 2016

Recorded as MICHAEL THOLEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2016

Surgery (License #D0081849 in MD)

🟢

Initial NPI Registration & Enumeration April 12, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1215294434

Entity Type:

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

Enumeration Date: April 12, 2012

Last Update: March 30, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2406 Connor Cir

Mount Airy, MD 217715960

Phone: 6128505919

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.