Active NPI 1013068147 Individual Practitioner Male Practitioner

Dr. Thomas Evans , MD

Emergency Medicine • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Evans, MD is a registered healthcare professional specializing in Emergency Medicine in Worcester, MA. Practice services are available at 281 LINCOLN ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, critical care, first, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

281 Lincoln St
Med Staff Svcs

Worcester, MA 016052138

Telephone 5083348015

Associated Practice Facility / Clinic

🏢 A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Worcester, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.9 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

219 Specialists

Practicing in Worcester, MA (1875 Statewide)

Telehealth Adoption Rate

3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99285 Emergency department visit for life threatening or functioning severity	167	163	$918.01	$170.75
99291 Critical care, first 30-74 minutes	49	49	$1126.94	$208.92
99284 Emergency department visit with moderate level of medical decision making	22	22	$591.09	$116.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	157	155	$895.29	$175.52
99291 Critical care, first 30-74 minutes	52	52	$1097.79	$213.92
99284 Emergency department visit with moderate level of medical decision making	35	35	$572.91	$120.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$850.90	$174.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	222	215	$868.32	$179.78
99284 Emergency department visit with moderate level of medical decision making	44	44	$559.45	$123.74
99291 Critical care, first 30-74 minutes	31	30	$1069.45	$221.01
99283 Emergency department visit with low level of medical decision making	13	13	$310.77	$73.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	181	179	$845.22	$183.60
99291 Critical care, first 30-74 minutes	32	32	$1031.25	$225.72
99284 Emergency department visit with moderate level of medical decision making	27	27	$543.33	$126.02
99283 Emergency department visit with low level of medical decision making	14	14	$302.21	$74.20
99220 Hospital observation care, typically 70 minutes	12	12	$641.75	$186.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	159	158	$823.23	$180.54
99284 Emergency department visit with moderate level of medical decision making	46	46	$528.26	$124.27
99291 Critical care, first 30-74 minutes	31	31	$962.10	$232.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$355.00	$113.88
99220 Hospital observation care, typically 70 minutes	11	11	$628.36	$193.77

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	125	122	$355.00	$114.23
99285 Emergency department visit for life threatening or functioning severity	104	103	$810.12	$178.75
J3489 Injection, zoledronic acid, 1 mg	85	17	$300.00	$11.60
71046 X-ray of chest, 2 views	71	70	$60.00	$22.26
96413 Infusion of chemotherapy into a vein up to 1 hour	42	27	$600.00	$151.86
99284 Emergency department visit with moderate level of medical decision making	36	36	$522.00	$121.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$320.00	$114.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$77.00	$17.74
96415 Administration of chemotherapy into vein, each additional hour	24	14	$130.00	$32.68
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$240.00	$78.57
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	17	$40.00	$16.22
81002 Urinalysis, manual test	22	22	$15.00	$3.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$480.00	$173.56
99291 Critical care, first 30-74 minutes	18	18	$926.00	$230.11
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	18	18	$210.00	$77.56
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$50.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	1,040	11	$245.25	$81.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$315.00	$113.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	119	$345.85	$111.92
71046 X-ray of chest, 2 views	114	113	$53.68	$20.81
J3489 Injection, zoledronic acid, 1 mg	110	22	$300.00	$13.77
96413 Infusion of chemotherapy into a vein up to 1 hour	99	35	$600.00	$152.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$470.00	$170.25
99285 Emergency department visit for life threatening or functioning severity	76	75	$765.00	$178.46
93000 Routine ekg using at least 12 leads including interpretation and report	61	60	$75.00	$17.87
96415 Administration of chemotherapy into vein, each additional hour	56	20	$130.00	$32.47
87804 Detection test by immunoassay with direct visual observation for influenza virus	48	24	$40.00	$16.22
81002 Urinalysis, manual test	35	34	$15.00	$3.41
99284 Emergency department visit with moderate level of medical decision making	32	31	$492.00	$121.30
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$235.00	$76.34
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	25	25	$210.00	$78.14
99291 Critical care, first 30-74 minutes	19	19	$874.00	$230.55
73564 X-ray of knee, 4 or more views	18	18	$300.00	$31.92
73630 X-ray of foot, minimum of 3 views	15	15	$65.67	$22.30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$50.00	$16.20
69209 Removal of impacted ear wax by washing	13	13	$50.00	$15.15
99283 Emergency department visit with low level of medical decision making	13	12	$274.00	$64.05
73130 X-ray of hand, minimum of 3 views	13	13	$160.00	$24.57
73030 X-ray of shoulder, minimum of 2 views	12	12	$160.00	$21.17
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$85.00	$25.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1745 Injection, infliximab, excludes biosimilar, 10 mg	890	12	$245.25	$71.28
J3489 Injection, zoledronic acid, 1 mg	120	24	$300.00	$13.22
99285 Emergency department visit for life threatening or functioning severity	108	106	$765.00	$175.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$312.30	$111.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	93	$345.00	$110.88
71020 X-ray of chest, 2 views, front and side	84	84	$45.00	$17.83
96413 Infusion of chemotherapy into a vein up to 1 hour	75	30	$600.00	$156.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$470.00	$163.89
93000 Routine ekg using at least 12 leads including interpretation and report	46	45	$75.00	$17.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$460.00	$145.09
96415 Administration of chemotherapy into vein, each additional hour	32	15	$130.00	$31.25
99284 Emergency department visit with moderate level of medical decision making	30	30	$492.00	$119.16
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	24	24	$210.00	$79.13
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$235.00	$73.25
81002 Urinalysis, manual test	21	21	$15.00	$3.43
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$50.00	$15.40
99291 Critical care, first 30-74 minutes	17	17	$874.00	$227.44
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$65.00	$23.87
73630 X-ray of foot, minimum of 3 views	13	12	$98.85	$21.81

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License MA 229904

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Rajiv Balasuriya , MD

Family Medicine

NPI 1013172626

Doctor of Medicine (M.D.)

Matthew Clark

Dentist

NPI 1033259908

Dr. Frank Traupman , MD

Surgery

NPI 1033371810

Doctor of Medicine (M.D.)

Dr. Lesley Woods , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1043364466

Doctor of Medicine (M.D.)

Dr. Sergio Zendejas , MD

Anesthesiology

NPI 1043367188

Doctor of Medicine (M.D.)

Dr. Shideh Amirifeli , MD

Internal Medicine

NPI 1083763890

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, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 016052138 (Tel: 5083348015)

📍

Updated Business Mailing Address July 08, 2007

Registered at 281 LINCOLN ST, MED STAFF SVCS, WORCESTER, MA 016052138 (Tel: 5083348015)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS EVANS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Emergency Medicine (License #229904 in MA)

🟢

Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013068147

Entity Type:

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

Enumeration Date: January 16, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

281 Lincoln St, Med Staff Svcs

Worcester, MA 016052138

Phone: 5083348015

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.