THOMAS B POULTON MD NPI 1154305670

Radiology (Diagnostic Radiology) in Canton, OH

NPI 1154305670 Individual Male Years of Experience 43 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About THOMAS POULTON

Thomas Poulton is a provider established in Canton, Ohio and his medical specialization is radiology (diagnostic radiology) with more than 43 years of experience. He graduated from University Of Miami, Lm Miller School Of Medicine in 1979. The NPI number of Thomas Poulton is 1154305670 and was assigned on November 2005. The practitioner's primary taxonomy code is 2085R0202X with license number 35 044985 (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.

Thomas Poulton is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Thomas Poulton is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Aultman Hospital, Union Hospital, Alliance Community Hospital and Aultman Orrville Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: radiation consideration for adult ct: utilization of dose lowering techniques and radiology: reminder system for screening mammograms. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1154305670

Provider Name THOMAS B POULTON MD
Provider Location Address2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC CANTON, OH 44710
Provider Mailing AddressP.O. BOX 72384 RADIOLOGY ASSOCIATES OF CANTON, INC. CLEVELAND, OH 44192
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year1979
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-30-2005
Last Update Date01-05-2011


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License No.35 044985
License StateOH
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

THOMAS B POULTON MD
2600 6TH ST SW
RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH
ZIP 44710
Phone: (330) 363-2842
Fax: (330) 580-5536

Get Directions


Mailing Address

THOMAS B POULTON MD
P.O. BOX 72384
RADIOLOGY ASSOCIATES OF CANTON, INC.
CLEVELAND, OH
ZIP 44192
Phone: (888) 686-1837
Fax: (330) 686-5928



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6103738364
PECOS Enrollment IDI20040217000835
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 779X-ray of chest, 1 view, front (HCPCS:71010)
  • 566X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 113CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 90CT scan of abdomen and pelvis (HCPCS:74176)
  • 71X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 57X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 46X-ray of abdomen, single view (HCPCS:74000)
  • 43X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 34X-ray of knee, 4 or more views (HCPCS:73564)
  • 28X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 22X-ray of knee, 3 views (HCPCS:73562)
  • 21X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 15Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100% 618
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size - Use of iterative reconstruction technique
Radiology: Reminder System for Screening Mammograms 100% 352
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Poulton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
AULTMAN HOSPITAL2600 SIXTH STREET SW
CANTON, OH 44710
(330) 363-6352Acute Care Hospitals360084
UNION HOSPITAL659 BOULEVARD
DOVER, OH 44622
(330) 343-3311Acute Care Hospitals360010
ALLIANCE COMMUNITY HOSPITAL200 EAST STATE STREET
ALLIANCE, OH 44601
(330) 596-7018Acute Care Hospitals360131
AULTMAN ORRVILLE HOSPITAL832 SOUTH MAIN STREET
ORRVILLE, OH 44667
(330) 682-3010Critical Access Hospitals361323

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging35 044985OHNo

Taxonomy Description: a Radiology doctor of Osteopathy that specializes in Body Imaging.

22085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology35 044985OHNo

Taxonomy Description: a radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
300044107OTHER (01)OH
0719864MEDICARE PIN (08)OH
0449250MEDICAID (05)OH
A79209MEDICARE UPIN (02)OH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700885142 MICHAEL W SOEHNLEN MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC.
CANTON, OH 44710
(330) 363-2842
1134113012DR. SUNITHA VEMULAPALLI MD
Individual
Internal Medicine (Hematology & Oncology)2600 6TH ST SW
CANTON, OH 44710
(330) 453-3308
1720079684DR. KIRKMAN G BAXTER MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA
CANTON, OH 44710
(330) 363-2842
1912998881 MARSHALL L CHALFANT MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1699766428 ROBERT L BASISTA MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC.
CANTON, OH 44710
(330) 363-2842
1700877495 CHRISTINE M COSENTINO-CHALFANT MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1447241195 JAMES D GEIHSLER MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1851382485 VICTORIA F GRIFFITHS MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC.
CANTON, OH 44710
(330) 363-2842
1639160260 SAMUEL L HISSONG MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA
CANTON, OH 44710
(330) 363-2842
1740271386 MICHAEL T MADER MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1699766907 MANISH GOYAL MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1295726438 BENEDICT Y KIM DO
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1598746810 JENNIFER BOLYARD MD
Individual
Internal Medicine2600 6TH ST SW
CANTON, OH 44710
(330) 363-6293
1295719680 ALLEN J ROVNER MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1053395459 ALEXIS S SAYOC MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC.
CANTON, OH 44710
(330) 363-2842
1447234703 WILLIAM R WALLACE MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1619951662 SAM D STUHLMILLER MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842
1972587897 BRUCE H WOLF MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA
CANTON, OH 44710
(330) 363-2842
1669457784 STEVEN F SANDS MD
Individual
Radiology (Diagnostic Radiology)2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC - ATTN: CECILIA
CANTON, OH 44710
(330) 363-2842
1699750448 KATARINA QUINTANA PA-C
Individual
Physician Assistant2600 6TH ST SW RADIOLOGY ASSOCIATES OF CANTON, INC
CANTON, OH 44710
(330) 363-2842

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.