THOMAS EDWARD DEGRAVE D.O.
NPI 1134187537
Family Medicine in Orchard Park, NY

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
3670 S BENZING RD, ORCHARD PARK, NY 14127(716) 662-5357(716) 662-2774 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thomas Edward Degrave D.o. NPPES

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

THOMAS EDWARD DEGRAVE D.O. (NPI 1134187537) is an individual family medicine provider in Orchard Park, New York, licensed in New York (173319) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1987).

NPPES Registry Identity

NPI1134187537
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS EDWARD DEGRAVECredential: D.O.
Location Address3670 S BENZING RDOrchard Park, NY 14127-1705
Mailing Address10271 Darien RdHolland, NY 14080-9628
Fax(716) 662-2774
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1987
Enumeration DateMay 3, 2006
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1134187537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 173319
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3670 S BENZING RD, Orchard Park, NY 14127

Other Identifiers 3

Medicare ID-Type UnspecifiedAA1066NY
Medicare UPINE33583NY
Medicaid01789519NY

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

Thomas Edward Degrave D.o. 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 ID4082639646
PECOS Enrollment IDI20051012000836
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 Reassignment

Medicare enrollment records show Thomas Degrave reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3670 SOUTH BENZING RD, SUITE A
Orchard Park, NY 14127
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group

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 8

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 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.
186 services108 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services46 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
47 services44 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.
22 services19 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330279
Location565 Abbott RoadBuffalo, NY 14220 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims55 services$15.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$41.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims57 services$1.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$11.40 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers33 claims33 services$22.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$57.33 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 12

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

Family Medicine
3670 S BENZING RD
ORCHARD PARK, NY 14127
Speech-Language Pathologist
3670 S BENZING RD
ORCHARD PARK, NY 14127
Physician Assistant
3670 S BENZING RD
ORCHARD PARK, NY 14127
Family Medicine
3670 S BENZING RD
ORCHARD PARK, NY 14127
Family Medicine
3670 S BENZING RD
ORCHARD PARK, NY 14127
Family Medicine
3670 S BENZING RD
ORCHARD PARK, NY 14127
Physician Assistant (Medical)
3670 S BENZING RD
ORCHARD PARK, NY 14127
Physician Assistant
3670 S BENZING RD
ORCHARD PARK, NY 14127

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 Degrave's NPI number?

The NPI number for Thomas Degrave is 1134187537. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Thomas Degrave located?

Thomas Degrave practices at 3670 S Benzing Rd, Orchard Park, NY 14127. The listed phone number is (716) 662-5357.

What is Thomas Degrave's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Degrave enrolled in Medicare?

Yes. Thomas Degrave 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 organization bills Medicare for Thomas Degrave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Degrave reassigns Medicare benefits to Orchard Park Family Practice, PC (Orchard Park, NY). The 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 Thomas Degrave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Degrave affiliated with any hospitals?

According to CMS data, Thomas Degrave is affiliated with Kaleida Health, Sisters Of Charity Hospital and Mercy Hospital Of Buffalo.

When was this NPI record last updated?

The NPPES record for Thomas Degrave was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.