THOMAS JACOB SEALES M.D.
NPI 1104184951
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Fort Walton Beach, FL

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
1034 MAR WALT DR UNIT 100, FORT WALTON BEACH, FL 32547(850) 863-2153 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2021, Jun 19, 2017 (2 updates tracked since 2017).

About Thomas Jacob Seales M.d. NPPES

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

THOMAS JACOB SEALES M.D. (NPI 1104184951) is an individual adult reconstructive orthopaedic surgery provider in Fort Walton Beach, Florida, licensed in Florida (131396) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Twin Cities Hospital, and is a graduate of University Of Alabama School Of Medicine (2012).

NPPES Registry Identity

NPI1104184951
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameTHOMAS JACOB SEALESCredential: M.D.
Location Address1034 MAR WALT DR UNIT 100Fort Walton Beach, FL 32547-6637
Mailing AddressPo Box 740923Atlanta, GA 30374-0923 · (850) 863-2153
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2012
Enumeration DateApril 30, 2012
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
NPI 1104184951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in FL · 131396
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
1034 MAR WALT DR UNIT 100, Fort Walton Beach, FL 32547

Other Identifiers 3

Medicaid02171200FL
Other14092927FL · Caqh
OtherON9E7FL · Bcbs

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

Thomas Jacob Seales M.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 ID1456597087
PECOS Enrollment IDI20170907002840
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 36

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
4,020 services42 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,916 services125 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.
1,089 services646 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,074 services79 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
848 services77 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
691 services132 patients

Hospital Affiliations CMS Care Compare 4

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

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100122
Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County
Emergency services Birthing friendly

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

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.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.7
Promoting Interoperability100
Improvement Activities40
Cost64.21

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%75 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier33 claims1,050 services$29.71 avg. paid by Medicare
Collagen dressing, sterile, size more than 48 sq. in., each A6023
DME-Medical/Surgical Supplies · category DA023N
1 supplier50 claims1,095 services$182.54 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
1 supplier47 claims1,032 services$15.77 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier29 claims930 services$3.23 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
7 suppliers45 claims45 services$48.95 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier21 claims21 services$82.57 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 3

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

Orthopaedic Surgery
1034 MAR WALT DR UNIT 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR UNIT 100
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR UNIT 100
FORT WALTON BEACH, FL 32547

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 Seales's NPI number?

The NPI number for Thomas Seales is 1104184951. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Thomas Seales located?

Thomas Seales practices at 1034 Mar Walt Dr Unit 100, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-2153.

What is Thomas Seales's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Thomas Seales enrolled in Medicare?

Yes. Thomas Seales 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 Seales accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Thomas Seales 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 Thomas Seales affiliated with any hospitals?

According to CMS data, Thomas Seales is affiliated with Hca Florida Twin Cities Hospital, North Okaloosa Medical Center, Hca Florida Fort Walton-Destin Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Thomas Seales was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.