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DR. CAROLE E THOMAS MD
NPI 1083666333
Psychiatry & Neurology - Neurology in Lumberton, NJ

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
693 MAIN ST, BUILDING D, LUMBERTON, NJ 08048(609) 261-7600(609) 265-8205 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2024, Oct 16, 2020, Aug 12, 2020 (3 updates tracked since 2020).

About Dr. Carole E Thomas Md NPPES

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

DR. CAROLE E THOMAS MD (NPI 1083666333) is an individual neurology provider in Lumberton, New Jersey, licensed in New Jersey (25MA08057600) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Voorhees.

NPPES Registry Identity

NPI1083666333
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CAROLE E THOMASCredential: MD
Location Address693 MAIN ST, BUILDING DLumberton, NJ 08048-5043
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(609) 261-7600
Fax(609) 265-8205
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1990
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 8, 20243 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1083666333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in NJ · 25MA08057600✔ Licensed in PA · MD047947L
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
693 MAIN ST, Lumberton, NJ 08048
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200-B Route 73 North, Suite 2Voorhees, NJ 08043 · Phone (856) 355-0400 · Fax (856) 355-0406

Other Identifiers 1

Medicaid7265603NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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. Carole E Thomas 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 ID1456355205
PECOS Enrollment IDI20060908000310
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

3

Medicare enrollment records show Carole Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
2.2 mi
Urgent Care
555 HIGH ST STE 16A
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1851841696 (609) 444-5610
Advocare, LLC
9.0 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055
Professional Service Fund Of Deborah Heart & Lung Center
12 mi
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 222 clinicians in this Medicare group
NPI 1407803596 (609) 893-1200

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 11

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.

Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
215 services209 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.
213 services167 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.
124 services124 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
93 services77 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.
80 services67 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.
34 services34 patients

Hospital Affiliations CMS Care Compare 5

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Deborah Heart And Lung Center

Acute Care Hospitals · Browns Mills, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310031
Location200 Trenton RoadBrowns Mills, NJ 08015 · Burlington County

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08048 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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

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. THOMAS O'DONNELL MD
Pediatrics
693 MAIN ST, AMHERST COMMONS, SUITE D
LUMBERTON, NJ 08048
Burlington County (609) 261-4058
DAWN MICHELLE MOLEINS
Nurse Practitioner
693 MAIN ST
LUMBERTON, NJ 08048
Burlington County (609) 265-1700
DR. TED M ROSNER DMD
Dentist (Oral and Maxillofacial Surgery)
693 MAIN ST
LUMBERTON, NJ 08048
Burlington County (609) 261-8200
LATOYA GAINES
Counselor (Mental Health)
693 MAIN ST
LUMBERTON, NJ 08048
Burlington County (609) 267-5928
DR. LEE DELACY MD
Internal Medicine (Gastroenterology)
693 MAIN ST, BLDG A STE 2
LUMBERTON, NJ 08048
Burlington County (609) 265-1700
MRS. SUSAN AMY BERGDOLL-FAYKES MSN, CPNP
Nurse Practitioner (Pediatrics)
693 MAIN ST
LUMBERTON, NJ 08048
Burlington County (609) 261-4058
TED M ROSNER DMD, PA
Dentist (Oral and Maxillofacial Surgery)
693 MAIN ST
LUMBERTON, NJ 08048
Burlington County (609) 261-8200
DR. SETH M KELLER M.D.
Psychiatry & Neurology (Neurology)
693 MAIN ST, BUILDING B & D
LUMBERTON, NJ 08048
Burlington County (609) 261-7600

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 Carole Thomas's NPI number?

The NPI number for Carole Thomas is 1083666333. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Carole Thomas located?

Carole Thomas practices at 693 Main St Building D, Lumberton, NJ 08048. The listed phone number is (609) 261-7600.

What is Carole Thomas's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Carole Thomas enrolled in Medicare?

Yes. Carole 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 Carole Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carole Thomas reassigns Medicare benefits to 3 organizations: Virtua Medical Group, PA (Mount Holly, NJ), Advocare, LLC (Marlton, NJ) and Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ). 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 Carole Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carole Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carole 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 Carole Thomas affiliated with any hospitals?

According to CMS data, Carole Thomas is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital, Deborah Heart And Lung Center, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Carole Thomas was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.