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

Q: 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.

Q: What is Nathaniel Thomas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Thomas was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

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

On this page

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

Phone(954) 546-6800

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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. 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.

Medicare Billing Reassignments

Medicare enrollment records show Nathaniel Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fort Pierce Orthopaedics LLC

81 mi

Orthopaedic Surgery

1801 S 23RD ST, SUITES 7 AND 8
Fort Pierce, FL 34950

Reassigned Medicare billing, Florida enrollment
16 clinicians in this Medicare group

NPI 1639246234 (772) 465-4651

Arthritis & Sports Orthopaedics PC

895 mi

Orthopaedic Surgery

21475 RIDGETOP CIRCLE, SUITE 150
Sterling, VA 20166

Reassigned Medicare billing, Virginia enrollment
36 clinicians in this Medicare group

NPI 1558342840 (703) 444-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

29 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

29 services29 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

26 services24 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

19 services15 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

16 services14 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

16 services14 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 Interoperability

100

Improvement Activities

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.

MICHAEL MARQUIS DPT

Physical Therapist

2964 N STATE ROAD 7 STE 205
MARGATE, FL 33063

Broward County (954) 580-4080

JAMESA RENEE JACKSON PA-C

Physician Assistant

2964 N STATE ROAD 7 STE 205
MARGATE, FL 33063

Broward County (954) 475-9244

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.

Which organizations bill Medicare for Nathaniel Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathaniel Thomas reassigns Medicare benefits to 2 organizations: Fort Pierce Orthopaedics LLC (Fort Pierce, FL) and Arthritis & Sports Orthopaedics PC (Sterling, VA). 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 Nathaniel Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.