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DR. THOMAS L THOMSEN O.D.
NPI 1063483634
Optometrist in Atlantic, IA

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
4 W 5TH ST, ATLANTIC, IA 50022(712) 243-1965(712) 243-1966 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas L Thomsen O.d. NPPES

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

DR. THOMAS L THOMSEN O.D. (NPI 1063483634) is an individual optometrist in Atlantic, Iowa, licensed in Iowa (02081) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1996).

NPPES Registry Identity

NPI1063483634
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THOMAS L THOMSENCredential: O.D.
Location Address4 W 5TH STAtlantic, IA 50022-1244
Mailing Address4 W 5th St, Po Box 249Atlantic, IA 50022-1244 · (712) 243-1965 · Fax (712) 243-1966
Phone(712) 243-1965
Fax(712) 243-1966
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1996
Enumeration DateJanuary 31, 2006
Last NPPES UpdateJanuary 7, 2008
✔ NPI 1063483634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 02081
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4 W 5TH ST, Atlantic, IA 50022
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Other Identifiers 7

Medicare PIN410014634
Medicare PIN20704
Medicaid4155283IA
Medicare PIN20705
Medicare NSC0252060001
Medicare UPINU65170IA
Medicaid2155283IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. Thomas L Thomsen O.d. 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 ID1850426651
PECOS Enrollment IDI20100329000184
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
586 services580 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
182 services119 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
155 services151 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
115 services105 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.
100 services59 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.
98 services89 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50022 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality60
Improvement Activities0

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
99%92 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
1 supplier27 claims27 services$52.23 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier26 claims51 services$51.14 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier19 claims38 services$7.49 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 4

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

ROBERT H. SHARP, O.D., PC
Optometrist
4 W 5TH ST
ATLANTIC, IA 50022
Cass County (712) 243-1965
DR. ROBERT H SHARP O.D.
Optometrist
4 W 5TH ST
ATLANTIC, IA 50022
Cass County (712) 243-1965
EYE CARE ASSOCIATES OF CO, LLC
Optometrist
4 W 5TH ST
ATLANTIC, IA 50022
Cass County (712) 243-1965
DR. ROBERT H. SHARP, PC
Optometrist
4 W 5TH ST
ATLANTIC, IA 50022
Cass County (712) 243-1965

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 Thomsen's NPI number?

The NPI number for Thomas Thomsen is 1063483634. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is Thomas Thomsen located?

Thomas Thomsen practices at 4 W 5th St, Atlantic, IA 50022. The listed phone number is (712) 243-1965.

What is Thomas Thomsen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Thomsen enrolled in Medicare?

Yes. Thomas Thomsen 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 Thomsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 5 other insurers list Thomas Thomsen 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.

When was this NPI record last updated?

The NPPES record for Thomas Thomsen was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.