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DR. THOMAS F DROST JR. M.D.
NPI 1164504874
General Practice in Wheaton, IL

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
72.27/100
CMS Quality Rating
721 E ROOSEVELT RD, WHEATON, IL 60187(630) 871-1800(630) 871-8118 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas F Drost Jr. M.d. NPPES

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

DR. THOMAS F DROST JR. M.D. (NPI 1164504874) is an individual general practice provider in Wheaton, Illinois, licensed in Illinois (036-109183) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1985).

NPPES Registry Identity

NPI1164504874
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THOMAS F DROST JR.Credential: M.D.
Location Address721 E ROOSEVELT RDWheaton, IL 60187-5646
Mailing Address721 E Roosevelt RdWheaton, IL 60187-5646 · (630) 871-1800 · Fax (630) 871-8118
Phone(630) 871-1800
Fax(630) 871-8118
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1985
Enumeration DateOctober 20, 2006
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
✔ NPI 1164504874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036-109183
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License 036109183 (IL)
Also ListedSurgeryTaxonomy 208600000X · License 036109183 (IL)
721 E ROOSEVELT RD, Wheaton, IL 60187
Open in Google Maps ↗

Other Identifiers 7

Other1702315IL · United Healthcare
Other20-3259708ID · Great West
Other20-3259708IL · Humana
OtherP00769961IL · Railroad Medicare
Medicaid036-109183IL
Other20-3259708ID · United Healthcare
Other01635423IL · Bcbs Ppo

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

Dr. Thomas F Drost Jr. 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 ID2567422074
PECOS Enrollment IDI20051017000634
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 Reassignments

3

Medicare enrollment records show Thomas Drost reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dpms Medical LLC
15 mi
Phlebology
610 S MAPLE AVE STE 2800
Oak Park, IL 60304
  • Reassigned Medicare billing, Illinois enrollment
  • 3 clinicians in this Medicare group
NPI 1023830668 (312) 563-4120
Signify Health Medical Associates, PLLC
781 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800
Pro Health One Inc
893 mi
Surgery
8181 E TUFTS AVE STE 510
Denver, CO 80237
  • Reassigned Medicare billing, Illinois enrollment
NPI 1053714584 (866) 782-8393

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
317 services46 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
38 services23 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
15 services15 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
13 services13 patients

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.

72.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.2
Promoting Interoperability100
Improvement Activities40
Cost21.04

Referred Medical Equipment & Supplies CMS DME claims 2

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

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier20 claims1,488 services$0.37 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims1,968 services$0.38 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 3

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

GARY R. ARBUCKLE D.C.
Chiropractor
721 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 260-1300
CAROLYN MOLSKOW PT
Physical Therapist
721 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 260-1300
DROST CORPORATION
General Practice
721 E ROOSEVELT RD
WHEATON, IL 60187
Dupage County (630) 871-8100

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 Drost's NPI number?

The NPI number for Thomas Drost is 1164504874. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Thomas Drost located?

Thomas Drost practices at 721 E Roosevelt Rd, Wheaton, IL 60187. The listed phone number is (630) 871-1800.

What is Thomas Drost's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Thomas Drost enrolled in Medicare?

Yes. Thomas Drost 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 organizations bill Medicare for Thomas Drost's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Drost reassigns Medicare benefits to 3 organizations: Dpms Medical LLC (Oak Park, IL), Signify Health Medical Associates, PLLC (Dallas, TX) and Pro Health One Inc (Denver, CO). Each 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 Drost's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Drost was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.