Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306376538 Individual Practitioner Male Practitioner

Dr. Thomas Peponis , MD

Colon & Rectal Surgery • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Peponis, MD is a certified Colon & Rectal Surgery practicing in Worcester, MA. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Peponis delivers high-quality medical care to the local community at 67 BELMONT ST.

Dr. Peponis is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, diagnostic examination of the anus using an endoscope, testing of tone and sensation of rectum and anus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

67 Belmont St

Worcester, MA 016052657

Telephone 5083348195
Fax 5083348130
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Worcester, MA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -5.1 yrs vs City Avg
City Avg: 17.1 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
9 Specialists

Practicing in Worcester, MA (56 Statewide)

Telehealth Adoption Rate
44.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Peponis (12 Years) 12 Yrs
Worcester Specialty Average (17.1 Years) 17.1 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes
72 25 $158.00 $48.83
46600 Diagnostic examination of the anus using an endoscope
47 43 $445.94 $118.60
91120 Testing of tone and sensation of rectum and anus
39 16 $1990.00 $517.59
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings
39 16 $842.00 $65.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
35 35 $547.00 $162.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
34 30 $445.00 $127.11
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito
32 30 $272.00 $5.47
99213 Established patient office or other outpatient visit, typically 15 minutes
30 24 $300.00 $89.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $359.00 $112.58
45380 Biopsy of large bowel using an endoscope
17 17 $1734.00 $153.39
99221 Initial hospital inpatient care per day, typically 30 minutes
17 16 $331.00 $81.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
15 15 $684.00 $213.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
13 13 $2104.00 $247.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $585.00 $181.95

Medical Specialties & State Licenses

CMS Verified: 2023-08-04
Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License MA 1015489

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License MA 271242

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.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License MN 70847

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

67 Belmont St, Worcester, MA 016052657

Phone: 5083348996

Secondary Practice Locations

200 1st St Sw

Rochester, MN 559050002

Phone: 5072842511

Massachusetts General Hospital, 55 Fruit St.

Boston, MA 02114

Phone: 6177262800

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1023091196

Doctor of Medicine (M.D.)

Dr. Kaitlyn Oldewurtel , DO

Colon & Rectal Surgery

NPI 1043871163

Doctor of Osteopathic Medicine (D.O.)

Janet Mcdade , NP

Nurse Practitioner

NPI 1194791657

Nurse Practitioner

NPI 1265041032

Doctor of Medicine (M.D.)

Jennifer Guertin , PA-C

Physician Assistant

NPI 1346471521

Physician Assistant (Certified)

Dr. William Sweeney , MD

Colon & Rectal Surgery

NPI 1407894751

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 04, 2023

Registered at 67 BELMONT ST, WORCESTER, MA 016052657 (Tel: 5083348195)

📍
Updated Business Mailing Address August 04, 2023

Registered at PO BOX 415348, BOSTON, MA 022415348

📍
Updated Practice Location November 18, 2022

Registered at 200 1ST ST SW, ROCHESTER, MN 559050002 (Tel: 5072842511)

📍
Updated Business Mailing Address November 18, 2022

Registered at 200 1ST ST SW, ROCHESTER, MN 559050002 (Tel: 5072842511)

NPI Profile Active June 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2017

Registered at MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114 (Tel: 6177262800)

📍
Updated Business Mailing Address June 20, 2017

Registered at MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114 (Tel: 6177262800)

👤
Provider Name / Credentials Updated June 20, 2017

Recorded as THOMAS PEPONIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Surgery (License #271242 in MA)

🟢
Initial NPI Registration & Enumeration June 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Thomas Peponis. Be the first to share your experience!

Sign in to leave a review for Dr. Thomas Peponis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1306376538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2017
Last Update: August 04, 2023
Sole Proprietor: No

Mailing Address

Po Box 415348

Boston, MA 022415348

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.