THOMAS KYLE STOOPS MD
NPI 1023460987
Orthopaedic Surgery in Indianapolis, IN

Active since July 04, 2016PECOS EnrolledAccepts Medicare Assignment
1801 N SENATE BLVD STE 535, INDIANAPOLIS, IN 46202(804) 389-1025 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Kyle Stoops Md NPPES

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

THOMAS KYLE STOOPS MD (NPI 1023460987) is an individual orthopaedic surgery provider in Indianapolis, Indiana, licensed in Indiana (01088158A) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023460987
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS KYLE STOOPSCredential: MD
Location Address1801 N SENATE BLVD STE 535Indianapolis, IN 46202-1204
Mailing Address1801 N Senate Blvd Ste 535Indianapolis, IN 46202-1204 · (813) 758-3211
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 4, 2016
Last NPPES UpdateJuly 27, 2022
NPPES CertifiedJuly 27, 2022
NPI 1023460987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IN · 01088158A
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1801 N SENATE BLVD STE 535, Indianapolis, IN 46202

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

Thomas Kyle Stoops 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 ID345622635
PECOS Enrollment IDI20230803002858
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 7

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.

X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
39 services29 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.
32 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
30 services23 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
23 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
21 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151326
Location801 S Main StClinton, IN 47842 · Vermillion County
Emergency services

Sullivan County Community Hospital

Critical Access Hospitals · Sullivan, IN
OwnershipGovernment - Local
CMS Certification Number151327
Location2200 N Section StSullivan, IN 47882 · Sullivan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

Specialist/Technologist (Athletic Trainer)
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Specialist/Technologist (Athletic Trainer)
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202
Orthopaedic Surgery
1801 N SENATE BLVD STE 535
INDIANAPOLIS, IN 46202

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 Stoops's NPI number?

The NPI number for Thomas Stoops is 1023460987. It was assigned to this individual provider in the NPPES registry on July 4, 2016.

Where is Thomas Stoops located?

Thomas Stoops practices at 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202. The listed phone number is (804) 389-1025.

What is Thomas Stoops's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Stoops enrolled in Medicare?

Yes. Thomas Stoops 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 Thomas Stoops accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Thomas Stoops 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 Thomas Stoops affiliated with any hospitals?

According to CMS data, Thomas Stoops is affiliated with Union Hospital Inc, Indiana University Health, Greene County General Hospital, Union Hospital Clinton and Sullivan County Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Stoops was last updated on July 27, 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.