Active NPI 1790888790 Individual Practitioner Male Practitioner

Dr. John Joseph Thomas , MD

Surgery • Martinsburg, WV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Thomas, MD is a certified Surgery practicing in Martinsburg, WV. With approximately 32 years of clinical experience since graduating from Ohio State University College Of Medicine in 1994, Dr. Thomas delivers high-quality medical care to the local community at 2000 FOUNDATION WAY STE 2200.

Dr. Thomas maintains professional affiliations with West Virginia University Medical Corporation, City Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2000 Foundation Way Ste 2200
Ste 102

Martinsburg, WV 254019030

Telephone 3045966902

Fax 3045966902

Associated Practice Facility / Clinic

🏢 East Division-Surgery-Usa Facility NPI 1962631804

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Martinsburg, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +13.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

10 Specialists

Practicing in Martinsburg, WV (221 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (32 Years) 32 Yrs

Martinsburg Specialty Average (19.0 Years) 19.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	98	54	$148.35	$65.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$182.00	$81.76
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$597.00	$176.80
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$598.00	$173.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	67	$148.25	$64.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$182.00	$81.50
45380 Biopsy of large bowel using an endoscope	22	22	$746.00	$178.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$492.00	$103.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	22	$148.00	$65.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$244.00	$107.84
99213 Established patient office or other outpatient visit, typically 15 minutes	35	26	$192.00	$86.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$182.00	$82.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	27	$143.28	$66.76
99213 Established patient office or other outpatient visit, typically 15 minutes	20	15	$183.90	$88.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$181.11	$83.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$244.00	$103.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	41	$116.00	$51.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$174.00	$75.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$244.00	$103.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$372.00	$158.48
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$165.00	$69.42
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$230.00	$102.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	71	$56.45	$25.06
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$83.21	$49.56
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$80.20	$50.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	17	$28.50	$9.01
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	25	$607.60	$114.77
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	25	25	$701.10	$188.47
45380 Biopsy of large bowel using an endoscope	22	22	$841.20	$136.01
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	17	$953.70	$260.33
99201 New patient office or other outpatient visit, typically 10 minutes	13	13	$54.10	$26.44
47562 Removal of gallbladder using an endoscope	11	11	$1363.70	$574.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	69	$58.85	$24.91
99202 New patient office or other outpatient visit, typically 20 minutes	64	64	$84.07	$49.29
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	43	$607.60	$111.05
99213 Established patient office or other outpatient visit, typically 15 minutes	40	36	$82.65	$50.06
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$701.10	$183.21
45380 Biopsy of large bowel using an endoscope	26	26	$841.20	$147.06
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	18	$523.70	$103.30
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$953.70	$259.72
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$156.10	$99.81
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$701.10	$188.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	62	$49.45	$24.42
99213 Established patient office or other outpatient visit, typically 15 minutes	64	47	$85.33	$48.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	34	$123.01	$72.67
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$82.43	$47.48
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$599.72	$105.77
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$124.00	$68.18
45380 Biopsy of large bowel using an endoscope	17	16	$829.52	$153.53
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$78.25	$37.11
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$697.56	$176.09
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$523.70	$102.73

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 21505

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

1811350000 (WV)

Hospital & Practice Group Affiliations

City Hospital Inc

2500 Hospital Dr, Martinsburg, WV 254013402

Phone: 3042601443

West Virginia University Medical Corporation

2000 Foundation Way, Martinsburg, WV 254019030

Phone: 3042641340

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jason Turner , MD

Surgery

NPI 1215185962

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 January 08, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2015

Registered at 2000 FOUNDATION WAY STE 2200, STE 102, MARTINSBURG, WV 254019030 (Tel: 3045966902)

📍

Updated Business Mailing Address January 08, 2015

Registered at 2500 FOUNDATION WAY, MARTINSBURG, WV 254019000 (Tel: 3042649202)

👤

Provider Name / Credentials Updated January 08, 2015

Recorded as JOHN THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2015

Surgery (License #21505 in WV)

🟢

Initial NPI Registration & Enumeration September 06, 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: 1790888790

Entity Type:

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

Enumeration Date: September 06, 2006

Last Update: January 08, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2500 Foundation Way

Martinsburg, WV 254019000

Phone: 3042649202

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.