DR. UPTON THOMAS M.D.
NPI 1013947696
Psychiatry & Neurology - Psychiatry in Wauwatosa, WI
About Dr. Upton Thomas M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. UPTON THOMAS M.D. (NPI 1013947696) is an individual psychiatry provider in Wauwatosa, Wisconsin, licensed in Wisconsin (01367) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Upton 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.
Medicare Billing Reassignments
2Medicare enrollment records show Upton Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10001
- Reassigned Medicare billing, New York enrollment
- 590 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, Wisconsin enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53213 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Upton Thomas's NPI number?
The NPI number for Upton Thomas is 1013947696. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Upton Thomas located?
Upton Thomas practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 454-6754.
What is Upton Thomas's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Upton Thomas enrolled in Medicare?
Yes. Upton 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.
Which organizations bill Medicare for Upton Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Upton Thomas reassigns Medicare benefits to 2 organizations: Mccd Psychiatry Services PLLC (New York, NY) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Upton Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Upton Thomas accept?
Health plans from UnitedHealthcare list Upton 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.
When was this NPI record last updated?
The NPPES record for Upton Thomas was last updated on August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Upton Thomas, M.D. · NPI 1013947696
Psychiatry physician in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1013947696 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 01367 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 DEWEY AVE, Wauwatosa, WI 53213-2504
- **Phone:** (414) 454-6754 · **Fax:** (414) 454-6789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mccd Psychiatry Services PLLC (NPI 1033750823, New York, NY); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2000
## Record status
- **NPPES last updated:** August 29, 2017
- **Other identifiers:** Medicare PIN WI1208006 (WI); Medicaid 34569200 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1013947696) · Data from the CMS NPPES public registry.