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DR. WILLIAM SCOTT THOMAS MD
NPI 1013945278
Family Medicine in Keyser, WV

Active since June 28, 2006PECOS Enrolled
90.03/100
CMS Quality Rating
1234 NEW CREEK HWY, KEYSER, WV 26726(304) 788-9320(304) 788-9323 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. William Scott Thomas Md NPPES

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

DR. WILLIAM SCOTT THOMAS MD (NPI 1013945278) is an individual family medicine provider in Keyser, West Virginia, licensed in West Virginia (21506) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Potomac Valley Hospital, and is a graduate of West Virginia University School Of Medicine (2001).

NPPES Registry Identity

NPI1013945278
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. WILLIAM SCOTT THOMASCredential: MD
Location Address1234 NEW CREEK HWYKeyser, WV 26726-9414
Mailing Address1234 New Creek HwyKeyser, WV 26726-9414 · (304) 788-9320 · Fax (304) 788-9323
Phone(304) 788-9320
Fax(304) 788-9323
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2001
Enumeration DateJune 28, 2006
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1013945278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 21506
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1234 NEW CREEK HWY, Keyser, WV 26726
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Scott Thomas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901809383
PECOS Enrollment IDI20060825000141
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.

Medicare Billing Reassignments

3

Medicare enrollment records show William Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Creek Family Medicine PLLC
Same address
Family Medicine
1234 NEW CREEK HWY
Keyser, WV 26726
  • Reassigned Medicare billing, West Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1013331396 (304) 788-9320
Potomac Valley Hospital Of W VA , Inc
0.2 mi
Critical Access
100 PIN OAK LN
Keyser, WV 26726
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1316054919 (West Virginia)
  • 158 clinicians in this Medicare group
NPI 1912979873 (304) 597-3525
Potomac Highlands Mental Health Guild, Inc.
30 mi
Community/Behavioral Health
6 PARK ST
Petersburg, WV 26847
  • Reassigned Medicare billing, West Virginia enrollment
  • 7 clinicians in this Medicare group
NPI 1992714398 (304) 257-1155

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
507 services179 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
316 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
283 services159 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
79 services79 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26726 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.14
Improvement Activities40
Cost55.26

Reported Quality Measures

Advance Care Plan
99%197 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,994 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%184 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%793 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
36%304 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 722 patients
Patients screened: 100% · 722 patients
100%222 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers28 claims49 services$6.48 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers24 claims24 services$1.13 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims11 services$29.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers20 claims39 services$1.89 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims400 services$3.31 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$918.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MARIE DELSIGNORE NP
Nurse Practitioner (Family)
1234 NEW CREEK HWY
KEYSER, WV 26726
Mineral County (304) 788-9320
NEW CREEK FAMILY MEDICINE PLLC
Family Medicine
1234 NEW CREEK HWY
KEYSER, WV 26726
Mineral County (304) 788-9320
AMY RATKE FNP-BC
Registered Nurse
1234 NEW CREEK HWY
KEYSER, WV 26726
Mineral County (304) 788-9320

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 William Thomas's NPI number?

The NPI number for William Thomas is 1013945278. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is William Thomas located?

William Thomas practices at 1234 New Creek Hwy, Keyser, WV 26726. The listed phone number is (304) 788-9320.

What is William Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Thomas enrolled in Medicare?

Yes. William Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Thomas reassigns Medicare benefits to 3 organizations: New Creek Family Medicine PLLC (Keyser, WV), Potomac Valley Hospital Of W VA , Inc (Keyser, WV) and Potomac Highlands Mental Health Guild, Inc. (Petersburg, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Thomas accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list William 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 William Thomas affiliated with any hospitals?

According to CMS data, William Thomas is affiliated with Potomac Valley Hospital and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for William Thomas was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.