DR. THIBIN D SANTHA M.D.
NPI 1144241068
Internal Medicine - Nephrology in Huntingtown, MD

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
93.95/100
CMS Quality Rating
3995 OLD TOWN RD, STE 203, HUNTINGTOWN, MD 20639(410) 535-1005(410) 535-0707 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thibin D Santha M.d. NPPES

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

DR. THIBIN D SANTHA M.D. (NPI 1144241068) is an individual nephrology provider in Huntingtown, Maryland, licensed in Maryland (D0064324) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1144241068
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. THIBIN D SANTHACredential: M.D.
Location Address3995 OLD TOWN RD, STE 203Huntingtown, MD 20639-3039
Mailing AddressPo Box 2661Prince Frederick, MD 20678-2661 · (410) 535-1005 · Fax (410) 535-0707
Fax(410) 535-0707
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 23, 2006
Last NPPES UpdateMarch 16, 2017
NPI 1144241068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MD · D0064324
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3995 OLD TOWN RD, Huntingtown, MD 20639

Other Names 1

Professional Name (2)Dr. Thibin Santha M.d.

Other Identifiers 1

Other11605412Caqh

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. Thibin D Santha 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 ID7113074022
PECOS Enrollment IDI20090413000015
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 12

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
340 services200 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
322 services114 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.
212 services147 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
111 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
108 services99 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
62 services29 patients

Hospital Affiliations CMS Care Compare

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

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210039
Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20639 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

93.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.52
Promoting Interoperability91
Improvement Activities40
Cost84.16

Reported Quality Measures

Breast Cancer Screening
1%127 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%80 patients1/55-star benchmark: 98%
Controlling High Blood Pressure
84%248 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%117 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%117 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
69%1,415 patients3/55-star benchmark: 100%
e-Prescribing
99%122 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%336 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%481 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%451 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
52%266 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 24% · 348 patients
22%348 patients
Provide Patients Electronic Access to Their Health Information
45%198 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%161 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 348 patients
Patients totalRate: 0% · 348 patients
0%348 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 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers34 claims4,050 services$0.29 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers26 claims2,340 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers19 claims19 services$17.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers41 claims41 services$12.33 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 6

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

Internal Medicine (Cardiovascular Disease)
3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639
Internal Medicine (Cardiovascular Disease)
3995 OLD TOWN RD, SUITE 101
HUNTINGTOWN, MD 20639
Nurse Practitioner (Family)
3995 OLD TOWN RD
HUNTINGTOWN, MD 20639
Dermatology
3995 OLD TOWN RD, STE 201
HUNTINGTOWN, MD 20639
Internal Medicine
3995 OLD TOWN RD, SUITE 202
HUNTINGTOWN, MD 20639
Internal Medicine
3995 OLD TOWN RD, SUITE 202
HUNTINGTOWN, MD 20639

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 Thibin Santha's NPI number?

The NPI number for Thibin Santha is 1144241068. It was assigned to this individual provider in the NPPES registry on July 23, 2006. The provider is also known as Dr. Thibin Santha M.D..

Where is Thibin Santha located?

Thibin Santha practices at 3995 Old Town Rd Ste 203, Huntingtown, MD 20639. The listed phone number is (410) 535-1005.

What is Thibin Santha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thibin Santha enrolled in Medicare?

Yes. Thibin Santha 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.

Is Thibin Santha affiliated with any hospitals?

According to CMS data, Thibin Santha is affiliated with Calverthealth Medical Center.

When was this NPI record last updated?

The NPPES record for Thibin Santha was last updated on March 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.