THOMAS MCILRAITH M.D.
NPI 1184725467
Hospitalist in Sacramento, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
3000 Q ST, SACRAMENTO, CA 95816(916) 733-3333 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Mcilraith M.d. NPPES

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

THOMAS MCILRAITH M.D. (NPI 1184725467) is an individual hospitalist provider in Sacramento, California, licensed in California (A67830) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (1996).

NPPES Registry Identity

NPI1184725467
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTHOMAS MCILRAITHCredential: M.D.
Location Address3000 Q STSacramento, CA 95816-7058
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1996
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 10, 2012
NPI 1184725467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in CA · A67830
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A67830 (CA)
3000 Q ST, Sacramento, CA 95816

Other Identifiers 14

Other000810608749CA · Phcs
Other1783233CA · Great West
Other2441706CA · United Healthcare
Other104558CA · Interplan
Other105367CA · Health Net
Medicare ID-Type Unspecified00A678301CA
Medicaid00A678300CA
OtherMCMG338200CA · Western Health Advantage
Other2250367CA · First Health
Other7254587CA · Aetna
Medicare UPINH03412
Other0088964CA · Cigna
OtherA67830CA · Blue Cross
Other90140492CA · Pacificare

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

Thomas Mcilraith 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 ID8123001146
PECOS Enrollment IDI20040610001207
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 7

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 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.
172 services83 patients
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.
144 services89 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.
106 services105 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.
100 services97 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
19 services19 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.80 avg. paid by Medicare
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 supplier17 claims17 services$62.66 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3000 Q ST
SACRAMENTO, CA 95816
Family Medicine
3000 Q ST
SACRAMENTO, CA 95816
Podiatrist (Foot & Ankle Surgery)
3000 Q ST, 4TH FLOOR PODIATRY
SACRAMENTO, CA 95816
Obstetrics & Gynecology (Gynecology)
3000 Q ST
SACRAMENTO, CA 95816
Nurse Practitioner (Adult Health)
3000 Q ST
SACRAMENTO, CA 95816
Internal Medicine (Gastroenterology)
3000 Q ST
SACRAMENTO, CA 95816
Internal Medicine
3000 Q ST
SACRAMENTO, CA 95816
Internal Medicine (Geriatric Medicine)
3000 Q ST
SACRAMENTO, CA 95816

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 Mcilraith's NPI number?

The NPI number for Thomas Mcilraith is 1184725467. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Thomas Mcilraith located?

Thomas Mcilraith practices at 3000 Q St, Sacramento, CA 95816. The listed phone number is (916) 733-3333.

What is Thomas Mcilraith's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Thomas Mcilraith enrolled in Medicare?

Yes. Thomas Mcilraith 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.

When was this NPI record last updated?

The NPPES record for Thomas Mcilraith was last updated on February 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.