DR. COLLEEN MARIE THOM
NPI 1174885362
Internal Medicine in Philadelphia, PA

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER, PHILADELPHIA, PA 19141(215) 456-8520 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Colleen Marie Thom NPPES

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

DR. COLLEEN MARIE THOM (NPI 1174885362) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS017829) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Riddle Memorial Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1174885362
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. COLLEEN MARIE THOM
Location Address5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTERPhiladelphia, PA 19141
Mailing Address1068w Baltimore PikeMedia, PA 19063-5104 · (610) 566-9400 · Fax (610) 627-4230
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateDecember 16, 2015
✔ NPI 1174885362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS017829
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5501 OLD YORK ROAD, Philadelphia, PA 19141

Accepted Insurance

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. Colleen Marie Thom 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 ID6406158062
PECOS Enrollment IDI20160113002394
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 Reassignment

Medicare enrollment records show Colleen Thom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group

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 3

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
363 services172 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$67.72 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 20

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

Dentist
5501 OLD YORK ROAD, EINSTEIN HEALTHCARE NETWORK
PHILADELPHIA, PA 19141
Pediatrics (Neonatal-Perinatal Medicine)
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Physician Assistant
5501 OLD YORK ROAD, EINSTEINMEDICAL CENTER TABOR EMERGENCY PHYSICIANS
PHILADELPHIA, PA 19141
Urology
5501 OLD YORK ROAD, ALBERT EINSTEIN MEDICAL CENTER
PHILADELPHIA, PA 19141
Orthopaedic Surgery
5501 OLD YORK ROAD, WILLOWCREST ROAD 4TH FL
PHILADELPHIA, PA 19141
Student in an Organized Health Care Education/Training Program
5501 OLD YORK ROAD
PHILADELPHIA, PA 19141
Nurse Practitioner (Obstetrics & Gynecology)
5501 OLD YORK ROAD, PALEY 3 OB-GYN
PHILADELPHIA, PA 19141
Pathology (Neuropathology)
5501 OLD YORK ROAD, TOWER GRD FL
PHILADELPHIA, PA 19141

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 Colleen Thom's NPI number?

The NPI number for Colleen Thom is 1174885362. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Colleen Thom located?

Colleen Thom practices at 5501 Old York Road Albert Einstein Medical Center, Philadelphia, PA 19141. The listed phone number is (215) 456-8520.

What is Colleen Thom's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Colleen Thom enrolled in Medicare?

Yes. Colleen 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.

Which organization bills Medicare for Colleen Thom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Thom reassigns Medicare benefits to Main Line Healthcare (Newtown Square, PA). The 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 Colleen Thom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Thom accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Colleen 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 Colleen Thom affiliated with any hospitals?

According to CMS data, Colleen Thom is affiliated with Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Colleen Thom was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.