Active NPI 1902877822 Individual Practitioner Male Practitioner

Dr. Sanjay M Thomas , MD

Surgery • Poughkeepsie, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Thomas, MD is a certified Surgery practicing in Poughkeepsie, NY. With approximately 23 years of clinical experience since graduating from Albany Medical College Of Union University in 2003, Dr. Thomas delivers high-quality medical care to the local community at 21 READE PL.

Dr. Thomas is affiliated with Nuvance Health Medical Practice Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established 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

21 Reade Pl
Suite 3100

Poughkeepsie, NY 126013912

Telephone 8452141800

Fax 8452141818

Associated Practice Facility / Clinic

🏢 Specialty Fittings, Inc. Facility NPI 1326222134

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Poughkeepsie, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +3.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

25 Specialists

Practicing in Poughkeepsie, NY (2269 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (23 Years) 23 Yrs

Poughkeepsie Specialty Average (19.8 Years) 19.8 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$344.73	$122.02
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$259.00	$99.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$511.56	$182.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$371.00	$139.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	14	$210.00	$84.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$592.08	$184.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	22	$198.00	$85.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$333.00	$123.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$368.00	$139.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$504.00	$180.77
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$259.00	$98.66
49650 Repair of groin hernia using an endoscope	14	14	$1729.00	$559.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$376.00	$140.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$553.00	$187.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	31	$189.96	$77.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$319.55	$124.85
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$250.38	$100.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$356.92	$140.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$486.55	$184.70
47562 Removal of gallbladder using an endoscope	11	11	$2538.09	$769.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$372.89	$124.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	28	$229.61	$77.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$554.15	$181.61
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$287.85	$101.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$452.52	$148.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$396.58	$143.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	35	$267.00	$78.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$291.00	$111.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$441.00	$172.32
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$194.00	$82.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$510.00	$150.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$286.00	$119.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	44	$267.00	$76.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$291.00	$113.51
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$194.00	$79.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$510.00	$145.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$441.00	$175.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$286.18	$115.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$146.00	$41.68
47562 Removal of gallbladder using an endoscope	16	16	$1865.00	$730.93
49650 Repair of groin hernia using an endoscope	12	12	$1210.00	$536.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	57	$267.00	$76.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$291.00	$114.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$441.00	$169.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$286.00	$113.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$510.00	$143.61
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$194.00	$76.94
47562 Removal of gallbladder using an endoscope	22	22	$1865.00	$722.92
49505 Repair of groin hernia (5 years or older)	20	20	$1472.00	$570.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$752.00	$212.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	11	11	$146.00	$41.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	146	92	$267.00	$74.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$510.00	$140.48
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$194.00	$76.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$291.00	$107.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$441.00	$168.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	20	$146.00	$41.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$286.00	$106.42
47562 Removal of gallbladder using an endoscope	23	23	$1865.00	$725.56
49505 Repair of groin hernia (5 years or older)	13	13	$1472.00	$572.40

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 241735

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.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NY 241735

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200045450A (OK)

Hospital & Practice Group Affiliations

Nuvance Health Medical Practice Pc

1 Pine St, Poughkeepsie, NY 126013910

Phone: 8454830447

Nuvance Health Medical Practice Pc

200 Westage Business Ctr Dr, Fishkill, NY 125242268

Nuvance Health Medical Practice Pc

45 Reade Pl, Poughkeepsie, NY 126013947

Nuvance Health Medical Practice Pc

200 Westage Business Ctr Dr, Fishkill, NY 125242269

Phone: 8458763003

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Mark Hirko , MD

Surgery - Vascular Surgery

NPI 1023085107

Doctor of Medicine (M.D.)

Dr. Lee Farber , DO

Surgery

NPI 1417152208

Doctor of Osteopathic Medicine (D.O.)

Dr. Elvita Genelus-Dominique , DO

Surgery

NPI 1639317472

Doctor of Osteopathic Medicine (D.O.)

Dr. Erika Flashburg , DO

Surgery

NPI 1750743258

Doctor of Osteopathic Medicine (D.O.)

Dr. Fausto Vinces , DO

Surgery - Trauma Surgery

NPI 1760549612

Doctor of Osteopathic Medicine (D.O.)

Kristen Lackaye , NP

Nurse Practitioner - Adult Health

NPI 1801349501

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2013

Registered at 21 READE PL, SUITE 3100, POUGHKEEPSIE, NY 126013912 (Tel: 8452141800)

📍

Updated Business Mailing Address July 18, 2013

Registered at 1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 125405108 (Tel: 8454759661)

👤

Provider Name / Credentials Updated July 18, 2013

Recorded as SANJAY THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Family Medicine (License #241735 in NY)

🟢

Initial NPI Registration & Enumeration January 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902877822

Entity Type:

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

Enumeration Date: January 30, 2006

Last Update: July 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1351 Route 55, Suite 200

Lagrangeville, NY 125405108

Phone: 8454759661

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.