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MR. THOMAS MICHAEL DOOLIN PA-C
NPI 1043347784
Physician Assistant in Amsterdam, NY

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010(518) 841-3580 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Michael Doolin Pa-c NPPES

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

MR. THOMAS MICHAEL DOOLIN PA-C (NPI 1043347784) is an individual physician assistant in Amsterdam, New York, licensed in New York (004415-1) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Cobleskill Regional Hospital, and is a graduate of Albany Medical College Of Union University (1991).

NPPES Registry Identity

NPI1043347784
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. THOMAS MICHAEL DOOLINCredential: PA-C
Location Address4988 STATE HIGHWAY 30Amsterdam, NY 12010-7520
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 841-3580
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1991
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJanuary 25, 2018
✔ NPI 1043347784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 004415-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4988 STATE HIGHWAY 30, Amsterdam, NY 12010
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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

Mr. Thomas Michael Doolin Pa-c 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 ID5698709954
PECOS Enrollment IDI20050928000358
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 6

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.
260 services172 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.
99 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
13 services13 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12010 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers33 claims61 services$4.75 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$0.83 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims1,860 services$0.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims14 services$189.16 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers16 claims16 services$20.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JAMSHAID A MINHAS MD
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Montgomery County (518) 428-5119
AMSTERDAM MEMORIAL HOSPITAL
Rehabilitation Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 842-3100
MOHAWK VALLEY MULTISPECIALTY MEDICAL GROUP PLLC
Psychiatry & Neurology (Neurology)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL SUITE 201
AMSTERDAM, NY 12010
Montgomery County (518) 428-5119
CHERYL SPARKS ANP
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDAM MEMORIAL HEALTH CENTER
AMSTERDAM, NY 12010
Montgomery County (518) 843-4356
BARBARA LOUCKS ANP
Nurse Practitioner (Family)
4988 STATE HIGHWAY 30, AMSTERDM FAMILY HEALTH CENTER
AMSTERDAM, NY 12010
Montgomery County (518) 843-5793
AMSTERDAM MEMORIAL HOSPITAL
Medicare Defined Swing Bed Unit
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 842-3100
KEVIN LAU MD
Radiology (Diagnostic Radiology)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-7203
LEA R WHITE LMHC
Counselor (Mental Health)
4988 STATE HIGHWAY 30
AMSTERDAM, NY 12010
Montgomery County (518) 841-3747

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 Doolin's NPI number?

The NPI number for Thomas Doolin is 1043347784. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Thomas Doolin located?

Thomas Doolin practices at 4988 State Highway 30, Amsterdam, NY 12010. The listed phone number is (518) 841-3580.

What is Thomas Doolin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Doolin enrolled in Medicare?

Yes. Thomas Doolin 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.

Is Thomas Doolin affiliated with any hospitals?

According to CMS data, Thomas Doolin is affiliated with Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Doolin was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.