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DR. THOMAS C WOLF M.D.
NPI 1124088067
Ophthalmology in Edmond, OK

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.13/100
CMS Quality Rating
3431 S BOULEVARD ST, SUITE 106, EDMOND, OK 73013(405) 562-2036(405) 562-2116 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas C Wolf M.d. NPPES

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

DR. THOMAS C WOLF M.D. (NPI 1124088067) is an individual ophthalmology provider in Edmond, Oklahoma, licensed in Oklahoma (13218) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of University Of Oklahoma College Of Medicine (1980).

NPPES Registry Identity

NPI1124088067
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS C WOLFCredential: M.D.
Location Address3431 S BOULEVARD ST, SUITE 106Edmond, OK 73013-5475
Mailing Address3431 S Boulevard St, Suite 106Edmond, OK 73013-5475 · (405) 562-2036 · Fax (405) 562-2116
Phone(405) 562-2036
Fax(405) 562-2116
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1980
Enumeration DateMarch 24, 2006
Last NPPES UpdateDecember 31, 2012
✔ NPI 1124088067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in OK · 13218
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.
3431 S BOULEVARD ST, Edmond, OK 73013
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Other Identifiers 4

Medicare ID-Type Unspecified244234402OK
OtherDA7066OK · Medicare Railroad
Medicare UPIND35420OK
Medicaid100110830BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, 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 C Wolf 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 ID2264329432
PECOS Enrollment IDI20090618000675
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 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.

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.
475 services469 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.
327 services232 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.
208 services187 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
122 services122 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).
70 services60 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.
46 services44 patients

Hospital Affiliations CMS Care Compare

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

97.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.26
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
66%576 patients3/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
84%135 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%21 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%744 patients1/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
51%216 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,504 patients
Patients totalRate: 0% · 1,504 patients
0%1,504 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.

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.

DR. JAMES FRANK RUSSELL OD
Optometrist
3431 S BOULEVARD ST, SUITE 105
EDMOND, OK 73013
Oklahoma County (405) 340-1200
MEDCOLOGY LLC
Clinic/Center (Health Service)
3431 S BOULEVARD ST, SUITE 109
EDMOND, OK 73013
Oklahoma County (405) 562-1870
DR THOMAS WOLF AND ASSOCIATES PLLC
Ophthalmology
3431 S BOULEVARD ST
EDMOND, OK 73013
Oklahoma County (405) 562-2036

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 Wolf's NPI number?

The NPI number for Thomas Wolf is 1124088067. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Thomas Wolf located?

Thomas Wolf practices at 3431 S Boulevard St Suite 106, Edmond, OK 73013. The listed phone number is (405) 562-2036.

What is Thomas Wolf's specialty?

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

Is Thomas Wolf enrolled in Medicare?

Yes. Thomas Wolf 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 Wolf accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 11 other insurers list Thomas Wolf 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 Wolf affiliated with any hospitals?

According to CMS data, Thomas Wolf is affiliated with Integris Baptist Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Thomas Wolf was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.