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DR. THOMAS C. BLEVINS M.D.
NPI 1114992088
Internal Medicine - Endocrinology, Diabetes & Metabolism in Austin, TX

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
83.36/100
CMS Quality Rating
6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200, AUSTIN, TX 78731(512) 458-8400(512) 458-8593 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas C. Blevins M.d. NPPES

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

DR. THOMAS C. BLEVINS M.D. (NPI 1114992088) is an individual endocrinology, diabetes & metabolism provider in Austin, Texas, licensed in Texas (F9214) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Baylor College Of Medicine (1981).

NPPES Registry Identity

NPI1114992088
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. THOMAS C. BLEVINSCredential: M.D.
Location Address6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200Austin, TX 78731
Mailing Address6500 North Mo Pac Expressway, Building 3, Suite 200Austin, TX 78731 · (512) 458-8400 · Fax (512) 458-8593
Phone(512) 458-8400
Fax(512) 458-8593
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1981
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJanuary 6, 2011
✔ NPI 1114992088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · F9214
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
6500 NORTH MO PAC EXPRESSWAY, Austin, TX 78731
Open in Google Maps ↗

Other Identifiers 4

Other8483N0TX · Bcbs Of Texas Individual #
Medicare UPINB21325TX
Medicare ID-Type Unspecified8483N0TX · Ind #
Medicare PINTXB112539TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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 C. Blevins 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 ID9830085398
PECOS Enrollment IDI20091215000153
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 7

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, testosterone cypionate, 1 mg J1071
Testosterone cypionate is a medication given via injection to help balance hormone levels in your body. It's typically used when your body doesn't produce enough of this hormone naturally. The 1 mg dose refers to the amount of medication in each injection.
8,825 services11 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.
1,422 services817 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
305 services149 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
97 services18 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
79 services79 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

83.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.84
Promoting Interoperability87
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
12 suppliers125 claims1,602 services$18.15 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
12 suppliers125 claims3,848 services$2.32 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers79 claims79 services$173.05 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
63 suppliers170 claims820 services$6.14 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers13 claims13 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
27 suppliers41 claims101 services$1.00 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.

LUIS CASAUBON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200
AUSTIN, TX 78731
Travis County (512) 458-8400
TEXAS DIABETES AND ENDOCRINOLOGY, P.A.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200
AUSTIN, TX 78731
Travis County (512) 458-8400
VALERIE DIANE ESPINOSA M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6500 NORTH MO PAC EXPRESSWAY, BUILDING 3, SUITE 200
AUSTIN, TX 78731
Travis County (512) 458-8400

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 Blevins's NPI number?

The NPI number for Thomas Blevins is 1114992088. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Thomas Blevins located?

Thomas Blevins practices at 6500 North Mo Pac Expressway Building 3, Suite 200, Austin, TX 78731. The listed phone number is (512) 458-8400.

What is Thomas Blevins's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Thomas Blevins enrolled in Medicare?

Yes. Thomas Blevins 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 Blevins accept?

Health plans from Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Thomas Blevins 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 Blevins affiliated with any hospitals?

According to CMS data, Thomas Blevins is affiliated with St David's Medical Center, North Austin Medical Center and Ascension Seton Highland Lakes.

When was this NPI record last updated?

The NPPES record for Thomas Blevins was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.