Dentist - General Practice in Menomonee Falls, WI

Individual Male Dentist General Practice PECOS Enrolled


Stephen Thomas is a provider established in Menomonee Falls, Wisconsin and his medical specialization is Dentist with a focus in general practice . The healthcare provider is registered in the NPI registry with number 1003012709 assigned on June 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 3457015 (WI). The provider is registered as an individual and his NPI record was last updated 16 years ago.

Location AddressN84 W15865 APPLETON AVE MENOMONEE FALLS, WI 53051
Location Phone(262) 251-6980
Mailing AddressN84 W15865 APPLETON AVE MENOMONEE FALLS, WI 53051
Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date06-21-2007
Last Update Date07-08-2007
Code Navigator

A dentist like Stephen Thomas is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Business Address

ZIP 53051
Phone: (262) 251-6980
Fax: (262) 251-6982

Get Directions

Mailing Address

ZIP 53051
Phone: (262) 251-6980
Fax: (262) 251-6982

Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code1223G0001X
TypeDental Providers
SpecializationGeneral Practice
License No.3457015
License StateWI
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Location Map

PECOS Enrollment and Medicare Participation Status

Stephen Thomas is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

    Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 53051 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.6
  • Minimum New Patient Price $55.63
  • Maximum New Patient Price $169.16
  • Average New Patient Copayment $21.4
  • Minimum New Patient Copayment $13.9
  • Maximum New Patient Copayment $42.29

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.98
  • Minimum Established Patient Price $17.46
  • Maximum Established Patient Price $138.8
  • Average Established Patient Copayment $17.49
  • Minimum Established Patient Copayment $4.36
  • Maximum Established Patient Copayment $34.7

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 7 + 0 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003012709 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Provider Reviews

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is Mr. Stephen Thomas DDS NPI number?

The NPI number assigned to this healthcare provider is 1003012709, enumerated in the NPI registry as an "individual" on June 21, 2007

Where is the provider located?

The provider is located at N84 W15865 Appleton Ave Menomonee Falls, Wi 53051 and the phone number is (262) 251-6980

What is the provider specialty code?

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

Is Mr. Stephen Thomas DDS registered in PECOS?

Yes, as of December 01, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

How much is a visit to Mr. Stephen Thomas DDS?

Medicare beneficiaries should expect a typical cost of $85.6 with an average copayment of $21.4 for new patient appointments. Established patients should expect a typical charge of $69.98 and an average copayment of 17.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

This NPI record was last updated on June 21, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.