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JOSHUA JAMES THOM MD
NPI 1144453242
Otolaryngology in Fridley, MN

Active since August 24, 2009PECOS EnrolledAccepts Medicare Assignment
86.51/100
CMS Quality Rating
6401 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 586-5923(763) 392-5604 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joshua James Thom Md NPPES

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

JOSHUA JAMES THOM MD (NPI 1144453242) is an individual otolaryngology provider in Fridley, Minnesota, licensed in Minnesota (53216) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144453242
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOSHUA JAMES THOMCredential: MD
Location Address6401 UNIVERSITY AVE NEFridley, MN 55432-4341
Mailing Address6401 University Ave NeFridley, MN 55432-4341 · (763) 586-5923 · Fax (763) 392-5604
Phone(763) 586-5923
Fax(763) 392-5604
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2009
Enumeration DateAugust 24, 2009
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1144453242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MN · 53216✔ Licensed in WI · 85990-20
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
6401 UNIVERSITY AVE NE, Fridley, MN 55432
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1216 S Adams StSaint Croix Falls, WI 54024-9449 · Phone (715) 483-0429 · Fax (715) 483-0539
Location 214500 99th Ave NMaple Grove, MN 55369-4730 · Phone (763) 898-1410

Other Identifiers 1

MedicaidENROLLEDMN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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

Joshua James Thom 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 ID547456857
PECOS Enrollment IDI20101129001087, I20250925002415
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.

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.
74 services74 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
69 services50 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.
60 services46 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.
20 services17 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

Other Providers at the Same Location NPPES 20

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

CHARLETTE KAY CARLOTTO LICSW
Social Worker (Clinical)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
AMY MOORE RN CDE
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, SUITE 100
FRIDLEY, MN 55432
Anoka County (763) 502-4877
MISS CHANTEL NOEL OLSON APRN, CNP, FNP-BC
Nurse Practitioner (Family)
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (763) 586-5844
FAIRVIEW EXPRESS CARE
Internal Medicine (Cardiovascular Disease)
6401 UNIVERSITY AVE NE, SECOND FLOOR
FRIDLEY, MN 55432
Anoka County (763) 502-6602
JUDITH M. NELSON RN, CNS
Clinical Nurse Specialist (Psychiatric/Mental Health)
6401 UNIVERSITY AVE NE, SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
LAURA SUE HENSON PSYD LP
Psychologist (Clinical)
6401 UNIVERSITY AVE NE, BHSI LLC SUITE 304
FRIDLEY, MN 55432
Anoka County (651) 769-6250
IAN J LALICH MD
Otolaryngology
6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Anoka County (612) 626-5900
DEBORAH LYNN ELSEN RN CDE
Registered Nurse (Diabetes Educator)
6401 UNIVERSITY AVE NE, #200
FRIDLEY, MN 55432
Anoka County (763) 586-5883

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 Joshua Thom's NPI number?

The NPI number for Joshua Thom is 1144453242. It was assigned to this individual provider in the NPPES registry on August 24, 2009.

Where is Joshua Thom located?

Joshua Thom practices at 6401 University Ave NE, Fridley, MN 55432. The listed phone number is (763) 586-5923.

What is Joshua Thom's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Joshua Thom enrolled in Medicare?

Yes. Joshua Thom 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 Joshua Thom accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan and 1 other insurer list Joshua Thom 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 Joshua Thom affiliated with any hospitals?

According to CMS data, Joshua Thom is affiliated with M Health Fairview St John's Hospital and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Thom was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.