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DR. THOMAS EDWARD GRIFFIN M.D.
NPI 1023038031
Internal Medicine in Fresno, CA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1379 E HERNDON AVE, FRESNO, CA 93720(559) 435-2630(559) 435-4319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Edward Griffin M.d. NPPES

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

DR. THOMAS EDWARD GRIFFIN M.D. (NPI 1023038031) is an individual internal medicine provider in Fresno, California, licensed in California (G37512) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1977).

NPPES Registry Identity

NPI1023038031
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THOMAS EDWARD GRIFFINCredential: M.D.
Location Address1379 E HERNDON AVEFresno, CA 93720-3309
Mailing Address1379 E Herndon AveFresno, CA 93720-3309 · (559) 435-2630 · Fax (559) 435-4319
Phone(559) 435-2630
Fax(559) 435-4319
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 1977
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023038031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G37512
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1379 E HERNDON AVE, Fresno, CA 93720
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ79325ZCA
Medicare UPINA47119CA

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

Dr. Thomas Edward Griffin 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 ID4981505690
PECOS Enrollment IDI20080702000196
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

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 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.
40 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
57%44 patients3/55-star benchmark: 93%
Cervical Cancer Screening
69%97 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
51%100 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
62%77 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
8%53 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%53 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%267 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
31%51 patients2/55-star benchmark: 100%
HIV Screening
21%186 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
89%211 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
64%170 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%178 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 79% · 188 patients
77%188 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 52 patients
Patients totalRate: 11% · 53 patients
11%53 patients3/55-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.

Other Providers at the Same Location NPPES 12

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

INTERNAL MEDICINE ASSOCIATES OF FRESNO
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630
HELEN L JONES MD
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630
DR. STEVEN HAIG CHOOLJIAN M.D.
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630
DR. ASHLEY RAE NELSON M.D.
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 450-2630
DR. CICELY ELAHI ROBERTS M.D.
Radiology (Diagnostic Radiology)
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630
MRS. VIDYA PANGULURI M.D
Internal Medicine
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630
DR. ROBERT LOUIS BENNETT JR. M.D.
Internal Medicine (Cardiovascular Disease)
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630
MS. NICKI JEAN ELMS P.A.
Physician Assistant
1379 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-2630

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 Thomas Griffin's NPI number?

The NPI number for Thomas Griffin is 1023038031. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Thomas Griffin located?

Thomas Griffin practices at 1379 E Herndon Ave, Fresno, CA 93720. The listed phone number is (559) 435-2630.

What is Thomas Griffin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Griffin enrolled in Medicare?

Yes. Thomas Griffin 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.

When was this NPI record last updated?

The NPPES record for Thomas Griffin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.