DR. NATHANIEL JAMES THOMAS D.O.
NPI 1033560503
Orthopaedic Surgery in Margate, FL

Active since June 27, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2964 N STATE ROAD 7 STE 205, MARGATE, FL 33063(954) 546-6800(954) 546-6801 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2023, Jun 30, 2021, Jun 9, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Nathaniel James Thomas D.o. NPPES

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

DR. NATHANIEL JAMES THOMAS D.O. (NPI 1033560503) is an individual orthopaedic surgery provider in Margate, Florida, licensed in Florida (OS19158) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Northwest Hospital, and maintains a secondary practice location in Garden City.

NPPES Registry Identity

NPI1033560503
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NATHANIEL JAMES THOMASCredential: D.O.
Location Address2964 N STATE ROAD 7 STE 205Margate, FL 33063-5718
Mailing Address2964 N State Road 7 Ste 205Margate, FL 33063-5718 · (954) 546-6800 · Fax (954) 546-6801
Fax(954) 546-6801
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2016
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1033560503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · OS19158 Licensed in MI · 5101022802 Licensed in VA · 0102206623
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.

2964 N STATE ROAD 7 STE 205, Margate, FL 33063

Secondary Practice Location 1

Location 16245 Inkster RdGarden City, MI 48135-4001 · Phone (734) 458-4486

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

Dr. Nathaniel James Thomas D.o. 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 ID8527351220
PECOS Enrollment IDI20220921003574
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 12

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.

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.
99 services50 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.
91 services62 patients
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.
62 services57 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.
53 services38 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.
38 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services28 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100189
Location2801 N State Rd 7Margate, FL 33063 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33063 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
91%207 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%432 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.

Other Providers at the Same Location NPPES 2

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

Physical Therapist
2964 N STATE ROAD 7 STE 205
MARGATE, FL 33063
Physician Assistant
2964 N STATE ROAD 7 STE 205
MARGATE, FL 33063

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 Nathaniel Thomas's NPI number?

The NPI number for Nathaniel Thomas is 1033560503. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Nathaniel Thomas located?

Nathaniel Thomas practices at 2964 N State Road 7 Ste 205, Margate, FL 33063. The listed phone number is (954) 546-6800.

What is Nathaniel Thomas's specialty?

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

Is Nathaniel Thomas enrolled in Medicare?

Yes. Nathaniel 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 Nathaniel Thomas accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Nathaniel 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 Nathaniel Thomas affiliated with any hospitals?

According to CMS data, Nathaniel Thomas is affiliated with Hca Florida Northwest Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Thomas was last updated on January 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.