THOMAS A OLEXA MD
NPI 1144201088
Orthopaedic Surgery in Sandusky, OH

Q: What is Thomas Olexa's NPI number?

The NPI number for Thomas Olexa is 1144201088. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Thomas Olexa's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Olexa was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment

87.25/100

CMS Quality Rating

1401 BONE CREEK DR, SANDUSKY, OH 44870(419) 625-4900(419) 621-9768 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas A Olexa Md NPPES

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

THOMAS A OLEXA MD (NPI 1144201088) is an individual orthopaedic surgery provider in Sandusky, Ohio, licensed in Ohio (35076370) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Toledo Medical College (1995).

NPPES Registry Identity

NPI1144201088

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameTHOMAS A OLEXACredential: MD

Location Address1401 BONE CREEK DRSandusky, OH 44870

Mailing Address1401 Bone Creek DrSandusky, OH 44870 · (419) 625-4900 · Fax (419) 621-9768

Phone(419) 625-4900

Fax(419) 621-9768

Sole ProprietorNo

Medical School CMSToledo Medical CollegeGraduated 1995

Enumeration DateNovember 8, 2005

Last NPPES UpdateDecember 22, 2010

✔ NPI 1144201088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in OH · 35076370

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 35-076370-O (OH)

1401 BONE CREEK DR, Sandusky, OH 44870

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Other Identifiers 3

Medicare UPINH18046

Medicaid2218433OH

Medicare PINOL4024331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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 A Olexa 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 ID4385771765

PECOS Enrollment IDI20100415000666

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 6

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

468 services81 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.

145 services99 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

89 services66 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.

69 services47 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360025

Location1111 Hayes AvenueSandusky, OH 44870 · Erie County

Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360065

Location272 Benedict AvenueNorwalk, OH 44857 · Huron County

Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360107

Location1400 West Main StreetBellevue, OH 44811 · Sandusky County

Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361314

Location615 Fulton StPort Clinton, OH 43452 · Ottawa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

87.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

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

MR. NICHOLAS D REIMER DPT

Physical Therapist