Active NPI 1952944308 Individual Practitioner Male Practitioner

Thomas C Macpherson , PA-C

Physician Assistant • Middletown, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Thomas Macpherson, PA-C is a certified Physician Assistant practicing in Middletown, NY. With approximately 7 years of clinical experience since graduating from Mercy College in 2019, Thomas Macpherson delivers high-quality medical care to the local community at 111 MALTESE DR.

Thomas Macpherson is affiliated with Emergency Physicians Of Tidewater and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Maltese Dr

Middletown, NY 109402141

Telephone 8453424774

Associated Practice Facility / Clinic

🏢 Middletown Medical Pc Facility NPI 1902855828

Medicare Profile & Education

Medical School

Mercy College

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Middletown, NY

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

7 Yrs -3.4 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

74 Specialists

Practicing in Middletown, NY (15701 Statewide)

Telehealth Adoption Rate

18.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macpherson (7 Years) 7 Yrs

Middletown Specialty Average (10.4 Years) 10.4 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
99285 Emergency department visit for life threatening or functioning severity	121	121	$1037.70	$176.13
99284 Emergency department visit with moderate level of medical decision making	102	99	$628.32	$121.50
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	24	24	$63.17	$8.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	151	149	$343.00	$121.46
99285 Emergency department visit for life threatening or functioning severity	80	78	$506.00	$177.59
99283 Emergency department visit with low level of medical decision making	39	38	$181.00	$73.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$200.00	$107.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$180.00	$123.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	167	167	$343.00	$124.62
99285 Emergency department visit for life threatening or functioning severity	146	144	$506.00	$181.48
99283 Emergency department visit with low level of medical decision making	70	70	$181.00	$73.91
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	51	38	$51.33	$50.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$180.00	$118.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$200.00	$109.55
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	14	$214.29	$35.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	149	131	$51.33	$51.31
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	135	126	$300.00	$35.33
99285 Emergency department visit for life threatening or functioning severity	133	133	$506.00	$185.76
99284 Emergency department visit with moderate level of medical decision making	102	101	$343.00	$126.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	57	$180.00	$130.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$200.00	$114.35
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	62	60	$200.00	$46.59
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	25	$30.00	$16.55
99283 Emergency department visit with low level of medical decision making	50	50	$181.00	$74.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$149.57	$56.99

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	103	97	$127.47	$96.81
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	36	35	$300.00	$35.33
36415 Insertion of needle into vein for collection of blood sample	36	35	$3.75	$2.88
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	35	34	$51.33	$51.31
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	33	32	$8.63	$7.20
99285 Emergency department visit for life threatening or functioning severity	32	32	$506.00	$177.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$16.55	$16.22
99284 Emergency department visit with moderate level of medical decision making	23	22	$343.00	$122.24
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	19	$16.53	$16.23
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$18.71	$15.61
99423 Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes	18	17	$200.00	$50.03
80053 Blood test, comprehensive group of blood chemicals	17	16	$15.40	$9.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$142.93	$45.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$179.34	$106.88
81002 Urinalysis, manual test	14	14	$4.02	$3.18
99283 Emergency department visit with low level of medical decision making	14	13	$181.00	$65.87
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$93.44	$64.46

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 024312

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nys License

024312 (NY)

Hospital & Practice Group Affiliations

Emergency Physicians Of Tidewater

2800 Godwin Blvd, Suffolk, VA 234348038

Phone: 7576863508

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Dahlia Banerji , MD

Internal Medicine - Cardiovascular Disease

NPI 1003103367

Doctor of Medicine (M.D.)

Dr. Corina Cristescu , MD

Internal Medicine

NPI 1003848136

Doctor of Medicine (M.D.)

Dr. Natalia Rezvina , MD

Obstetrics & Gynecology

NPI 1023041100

Doctor of Medicine (M.D.)

Dr. Christopher Allen , MD

Obstetrics & Gynecology

NPI 1023217148

Doctor of Medicine (M.D.)

Christine Quinlan , FNP

Nurse Practitioner - Family

NPI 1023297983

Family Nurse Practitioner

Erin Tondini , FNP

Nurse Practitioner - Family

NPI 1043715394

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 17, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2019

Registered at 111 MALTESE DR, MIDDLETOWN, NY 109402141 (Tel: 8453424774)

📍

Updated Business Mailing Address October 17, 2019

Registered at 111 MALTESE DR, MIDDLETOWN, NY 109402141 (Tel: 8453424774)

👤

Provider Name / Credentials Updated October 17, 2019

Recorded as THOMAS MACPHERSON, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Physician Assistant (License #024312 in NY)

🟢

Initial NPI Registration & Enumeration October 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1952944308

Entity Type:

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

Enumeration Date: October 17, 2019

Last Update: October 17, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 Maltese Dr

Middletown, NY 109402141

Phone: 8453424774

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.