Active NPI 1457389967 Individual Practitioner Male Practitioner

Dr. Michael C Thomas , MD

Surgery • Hermitage, TN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Thomas, MD is a registered healthcare professional specializing in Surgery in Hermitage, TN. Practice services are available at 3901 CENTRAL PIKE under active NPI credentials.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital inpatient care per day, 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

3901 Central Pike
Suite 555

Hermitage, TN 370763419

Telephone 6158749667

Fax 6158719682

Associated Practice Facility / Clinic

🏢 Medical Group Summit Inc Facility NPI 1821085259

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Hermitage, TN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.5 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

3 Specialists

Practicing in Hermitage, TN (682 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	30	$112.96	$38.06
99221 Initial hospital inpatient care per day, typically 30 minutes	30	30	$292.40	$97.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	79	29	$111.00	$37.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$467.56	$155.97
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$291.00	$97.02
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$207.00	$70.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$306.00	$103.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$303.00	$102.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	12	$207.00	$70.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	26	$111.00	$37.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$390.00	$128.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$460.00	$154.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$306.00	$96.59
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$207.00	$68.29
49505 Repair of groin hernia (5 years or older)	11	11	$1763.45	$549.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	36	$109.00	$36.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$303.00	$97.82
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$291.00	$95.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	22	$306.00	$99.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$382.00	$124.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$460.00	$152.99

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 13976MD

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3020078 (TN)

Commercial Insurance / Payer ID First Health

621278261

Commercial Insurance / Payer ID Tricare

62127826137076A001 (TN)

Commercial Insurance / Payer ID Medicare Rr

021101458

Commercial Insurance / Payer ID Humana

125537291831 (TN)

Commercial Insurance / Payer ID United Healthcare

1740238

Commercial Insurance / Payer ID Bcbs

0056839

Commercial Insurance / Payer ID Healthspring

007930 (TN)

Commercial Insurance / Payer ID Cigna

6212782610002 (TN)

Commercial Insurance / Payer ID Beech St

621278261

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Craig Ternovits , MD

Surgery

NPI 1063520666

Doctor of Medicine (M.D.)

Joni Lee , PA

Physician Assistant

NPI 1083869630

Physician Assistant

Claire Tomlinson , PA-C

Physician Assistant - Surgical

NPI 1134549470

Physician Assistant (Certified)

Dr. Christopher Braxton , MD

Surgery

NPI 1275064750

Doctor of Medicine (M.D.)

Dr. Tod Bushman , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1417952581

Doctor of Podiatric Medicine

Dr. Jefferson Watson , MD

Surgery

NPI 1447511290

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 September 12, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2011

Registered at 3901 CENTRAL PIKE, SUITE 555, HERMITAGE, TN 370763419 (Tel: 6158749667)

📍

Updated Business Mailing Address September 12, 2011

Registered at 356 24TH AVE N, SUITE 300, NASHVILLE, TN 372031514 (Tel: 6152925722)

👤

Provider Name / Credentials Updated September 12, 2011

Recorded as MICHAEL THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Surgery (License #13976MD in TN)

🟢

Initial NPI Registration & Enumeration June 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: 1457389967

Entity Type:

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

Enumeration Date: June 30, 2006

Last Update: September 12, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

356 24th Ave N, Suite 300

Nashville, TN 372031514

Phone: 6152925722

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.