DR. THOMAS RICHARD DEGRAFF III D.O. NPI 1003002510

General Practice in Little Rock Afb, AR

Individual Male General Practice PECOS Enrolled

About THOMAS DEGRAFF

Thomas Degraff is a provider established in Little Rock Afb, Arkansas and his medical specialization is general practice. The NPI number of Thomas Degraff is 1003002510 and was assigned on September 2007. The practitioner's primary taxonomy code is 208D00000X with license number E-8909 (AR). The provider is registered as an individual and his NPI record was last updated April 2020. Thomas Degraff is enrolled in PECOS.

NPI

1003002510

Provider NameDR. THOMAS RICHARD DEGRAFF III D.O.
Provider Location Address101 CMS WILLIAMS DRIVE LITTLE ROCK AFB, AR 72099
Provider Mailing Address101 CMS WILLIAMS DRIVE LITTLE ROCK AFB, AR 72099
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-18-2007
Last Update Date04-22-2020

Primary Taxonomy

Taxonomy Code208D00000X
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians
License No.E-8909
License StateAR

Business Address

DR. THOMAS RICHARD DEGRAFF III D.O.
101 CMS WILLIAMS DRIVE
LITTLE ROCK AFB, AR
ZIP 72099
Phone: (501) 987-6951

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Mailing Address

DR. THOMAS RICHARD DEGRAFF III D.O.
101 CMS WILLIAMS DRIVE
LITTLE ROCK AFB, AR
ZIP 72099
Phone: (501) 987-6951

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Part B Clinical Laboratory and ImagingYes
Durable Medical EquipmentYes
Home Health Agency (HHA)Yes
Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 3209Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 155Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 107Automated urinalysis test (HCPCS:81003)
  • 11Administration of influenza virus vaccine (HCPCS:G0008)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace MedicineA141807NMNo

Taxonomy Description: aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.