Active NPI 1689678526 Individual Practitioner Male Practitioner

Dr. Thomas Thomas , MD

Surgery • Kingsport, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Thomas, MD is a certified Surgery practicing in Kingsport, TN. With approximately 34 years of clinical experience since graduating from Washington University School Of Medicine in 1992, Dr. Thomas delivers high-quality medical care to the local community at 105 W STONE DR.

Dr. Thomas is affiliated with Holston Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 W Stone Dr
Ste 4a

Kingsport, TN 376603256

Telephone 4233926265

Fax 4233926272

Associated Practice Facility / Clinic

🏢 Holston Medical Group Pc Facility NPI 1831110667

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kingsport, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +13.8 yrs vs City Avg

City Avg: 20.2 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

25 Specialists

Practicing in Kingsport, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (34 Years) 34 Yrs

Kingsport Specialty Average (20.2 Years) 20.2 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$310.00	$155.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$214.24	$121.73
47562 Removal of gallbladder using an endoscope	14	14	$1600.00	$586.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$202.00	$101.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$390.00	$209.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$310.00	$156.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$202.00	$116.35
47562 Removal of gallbladder using an endoscope	16	16	$1440.75	$605.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$390.00	$194.13
49650 Repair of groin hernia using an endoscope	12	12	$1137.58	$480.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$202.00	$99.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$310.00	$154.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$202.00	$121.86
47562 Removal of gallbladder using an endoscope	16	16	$1298.50	$617.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$273.00	$172.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$390.00	$209.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$310.00	$154.46
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$390.00	$205.89
47562 Removal of gallbladder using an endoscope	19	19	$1236.00	$617.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$202.00	$123.30
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$137.00	$86.57

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	47	47	$202.00	$102.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	26	$81.00	$42.74
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$137.00	$71.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$310.00	$156.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	14	$75.00	$38.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$202.00	$103.77
49505 Repair of groin hernia (5 years or older)	13	13	$1000.00	$496.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$262.00	$132.94

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	75	75	$202.00	$100.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	15	$75.00	$37.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$81.00	$42.27
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$157.92	$66.96
47562 Removal of gallbladder using an endoscope	22	22	$1326.91	$559.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$215.95	$100.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$262.00	$131.30
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$81.00	$42.77
49505 Repair of groin hernia (5 years or older)	11	11	$989.55	$453.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$310.00	$149.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	20	$81.00	$39.59
99213 Established patient office or other outpatient visit, typically 15 minutes	29	26	$137.00	$64.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	14	$75.00	$36.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$202.00	$91.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$202.00	$97.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$262.00	$125.84
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	$390.00	$177.92
49505 Repair of groin hernia (5 years or older)	15	15	$1042.13	$436.79
47562 Removal of gallbladder using an endoscope	12	12	$1236.00	$592.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$310.00	$153.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	18	$81.00	$40.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$202.00	$100.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$202.00	$100.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	11	$75.00	$37.17
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$137.00	$68.04
47562 Removal of gallbladder using an endoscope	13	13	$1274.46	$609.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$262.00	$129.44
49505 Repair of groin hernia (5 years or older)	12	12	$977.00	$441.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$390.00	$192.98

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN MD 35317

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

3864759 (TN)

Medicaid State Provider ID

7305061 (VA)

Hospital & Practice Group Affiliations

Holston Medical Group Pc

322 Steeles Rd, Bristol, TN 376209532

Phone: 4232171360

Holston Medical Group Pc

350 Steeles Rd, Bristol, TN 376209532

Phone: 4238444925

Holston Medical Group Pc

105 W Stone Dr, Kingsport, TN 376603256

Holston Medical Group Pc

240 Medical Park Blvd, Bristol, TN 376207355

Phone: 4239905495

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Cheryl Stanski , MD

Surgery

NPI 1063414167

Doctor of Medicine (M.D.)

Daniel Chester

Surgery

NPI 1245737600

Dr. Edward Fore , MD

Family Medicine

NPI 1346221157

Doctor of Medicine (M.D.)

Dr. Grace Ward , MD

Surgery

NPI 1407299324

Doctor of Medicine (M.D.)

Dr. Steven Holt , MD

Surgery

NPI 1538163522

Doctor of Medicine (M.D.)

Dr. Robert Rogers , MD

Surgery

NPI 1609870542

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 May 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2015

Registered at 105 W STONE DR, STE 4A, KINGSPORT, TN 376603256 (Tel: 4233926265)

📍

Updated Business Mailing Address May 04, 2015

Registered at PO BOX 9, KINGSPORT, TN 376620009 (Tel: 4238572066)

👤

Provider Name / Credentials Updated May 04, 2015

Recorded as THOMAS THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2015

Surgery (License #MD 35317 in TN)

🟢

Initial NPI Registration & Enumeration June 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1689678526

Entity Type:

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

Enumeration Date: June 09, 2005

Last Update: May 04, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9

Kingsport, TN 376620009

Phone: 4238572066

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.