STEVEN B THOM MD
NPI 1063434637
Ophthalmology in Fergus Falls, MN

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
85.21/100
CMS Quality Rating
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537(218) 736-8000(218) 736-8757 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Steven B Thom Md NPPES

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

STEVEN B THOM MD (NPI 1063434637) is an individual ophthalmology provider in Fergus Falls, Minnesota, licensed in Minnesota (40522) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Region Healthcare Corporation, and is a graduate of University Of Minnesota Medical School (1993).

NPPES Registry Identity

NPI1063434637
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameSTEVEN B THOMCredential: MD
Location Address712 SOUTH CASCADE STREETFergus Falls, MN 56537-2813
Mailing Address712 South Cascade StreetFergus Falls, MN 56537-2813 · (218) 736-8000 · Fax (218) 736-8757
Fax(218) 736-8757
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1993
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 8, 2010
NPI 1063434637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MN · 40522 Licensed in ND · 7692
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

712 SOUTH CASCADE STREET, Fergus Falls, MN 56537

Other Identifiers 5

Medicaid641139800MN
Medicare PIN180001095MN
Medicare UPING47447
Medicaid10214ND
Medicare PINN15587ND

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

Steven B Thom 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 ID7113005125
PECOS Enrollment IDI20090101000003
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 26

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,700 services16 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
436 services118 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
391 services214 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.
320 services311 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.
225 services157 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.
211 services182 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Region Healthcare Corporation

Acute Care Hospitals · Fergus Falls, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240052
Location712 South Cascade StreetFergus Falls, MN 56537 · Otter Tail County
Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241379
Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56537 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

85.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.39
Promoting Interoperability96
Improvement Activities40
Cost67.66

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
82%166 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
100%35 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%649 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
13%247 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%1,497 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
86%719 patients4/55-star benchmark: 95%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
95%235 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%1,497 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
98%50 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims11 services$48.89 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.

Clinical Nurse Specialist
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Surgery
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Optometrist
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Internal Medicine
712 SOUTH CASCADE STREET
FERGUS FALLS, WI 56537
Pediatrics
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Nurse Practitioner (Gerontology)
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Family Medicine
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537
Ophthalmology
712 SOUTH CASCADE STREET
FERGUS FALLS, MN 56537

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 Steven Thom's NPI number?

The NPI number for Steven Thom is 1063434637. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Steven Thom located?

Steven Thom practices at 712 South Cascade Street, Fergus Falls, MN 56537. The listed phone number is (218) 736-8000.

What is Steven Thom's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Steven Thom enrolled in Medicare?

Yes. Steven Thom 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 Steven Thom accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Steven Thom 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 Steven Thom affiliated with any hospitals?

According to CMS data, Steven Thom is affiliated with Lake Region Healthcare Corporation and Prairie Ridge Hospital And Health Services.

When was this NPI record last updated?

The NPPES record for Steven Thom was last updated on July 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.