CATHERINE JANE THOMAS M.D.
NPI 1013362888
Ophthalmology in Chicago, IL

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
259 E ERIE ST STE 1520, CHICAGO, IL 60611(312) 695-8150(312) 503-8152 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Catherine Jane Thomas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHERINE JANE THOMAS M.D. (NPI 1013362888) is an individual ophthalmology provider in Chicago, Illinois, licensed in Illinois (036152053) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1013362888
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameCATHERINE JANE THOMASCredential: M.D.
Location Address259 E ERIE ST STE 1520Chicago, IL 60611-3111
Mailing Address259 E Erie St Ste 1520Chicago, IL 60611-3111 · (312) 695-8150 · Fax (312) 503-8152
Fax(312) 503-8152
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
NPI 1013362888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036152053
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
259 E ERIE ST STE 1520, Chicago, IL 60611

Secondary Practice Location 1

Location 1836 W Wellington AveChicago, IL 60657-5147 · Phone (773) 975-1600

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Catherine Jane Thomas M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739474644
PECOS Enrollment IDI20200625001334
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
200 services137 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
110 services54 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
53 services43 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
19 services18 patients
Destruction of leaking blood vessels of retina using laser 67228
This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Ophthalmology
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Ophthalmology
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Physician Assistant
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Ophthalmology (Retina Specialist)
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Ophthalmology
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Nurse Practitioner
259 E ERIE ST STE 1520
CHICAGO, IL 60611
Ophthalmology
259 E ERIE ST STE 1520
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catherine Thomas's NPI number?

The NPI number for Catherine Thomas is 1013362888. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Catherine Thomas located?

Catherine Thomas practices at 259 E Erie St Ste 1520, Chicago, IL 60611. The listed phone number is (312) 695-8150.

What is Catherine Thomas's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Catherine Thomas enrolled in Medicare?

Yes. Catherine Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Catherine Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Catherine Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Catherine Thomas affiliated with any hospitals?

According to CMS data, Catherine Thomas is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Catherine Thomas was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.