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PAUL STEPHEN THOMAS MD
NPI 1013970045
Pediatrics in Mcalester, OK

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1401 E VAN BUREN AVE, MCALESTER, OK 74501(918) 426-0240(918) 423-4051 Get Directions Write a Review

NPPES record last updated: April 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul Stephen Thomas Md NPPES

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

PAUL STEPHEN THOMAS MD (NPI 1013970045) is an individual pediatrics provider in Mcalester, Oklahoma, licensed in Oklahoma (13819) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1981).

NPPES Registry Identity

NPI1013970045
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePAUL STEPHEN THOMASCredential: MD
Location Address1401 E VAN BUREN AVEMcalester, OK 74501-4245
Mailing AddressPo Box 908Mcalester, OK 74502-0908 · (918) 426-0240 · Fax (918) 423-4051
Phone(918) 426-0240
Fax(918) 423-4051
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1981
Enumeration DateApril 10, 2006
Last NPPES UpdateApril 14, 2008
✔ NPI 1013970045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OK · 13819
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1401 E VAN BUREN AVE, Mcalester, OK 74501
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Other Identifiers 5

Other0166707OK · Umwa
Medicare UPIND35352OK
Other74502A016OK · Champus (wps)
Other731310891028OK · Tricare South
Other731310891006OK · Unicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Paul Stephen Thomas Md 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 ID7618978685
PECOS Enrollment IDI20100115000397
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

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.

JANET H GREEN M.D.
Family Medicine
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 426-0240
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 561-8306
WILLIAM EDWIN GUPTON MD
Family Medicine
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 426-0240
KELLY ROSHELLE DRUSEN ARNP, NP-C
Nurse Practitioner (Family)
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 426-0240
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 426-0240
CHRISTIE E CRAWLEY MS, NP-C, ARNP
Nurse Practitioner (Family)
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 426-0240
JANTZEN MATLI DO
Family Medicine
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 421-8440
JOHNNY JOHNSTON MD
Pediatrics
1401 E VAN BUREN AVE
MCALESTER, OK 74501
Pittsburg County (918) 426-0240

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 Paul Thomas's NPI number?

The NPI number for Paul Thomas is 1013970045. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Paul Thomas located?

Paul Thomas practices at 1401 E Van Buren Ave, Mcalester, OK 74501. The listed phone number is (918) 426-0240.

What is Paul Thomas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Paul Thomas enrolled in Medicare?

Yes. Paul 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 Paul Thomas accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Paul 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 Paul Thomas was last updated on April 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.