1. Home
  2. Directory
  3. Maryland
  4. Mount Airy
  5. General Practice
  6. NPI Profile

DR. MICHAEL RICHARD THOLEN M.D.
NPI 1215294434
General Practice in Mount Airy, MD

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment
18.3/100
CMS Quality Rating
2406 CONNOR CIR, MOUNT AIRY, MD 21771(612) 850-5919(301) 682-3515 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 30, 2026, Sep 11, 2025, Aug 17, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Michael Richard Tholen M.d. NPPES

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

DR. MICHAEL RICHARD THOLEN M.D. (NPI 1215294434) is an individual general practice provider in Mount Airy, Maryland, licensed in Maryland (D0081849) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2012).

NPPES Registry Identity

NPI1215294434
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MICHAEL RICHARD THOLENCredential: M.D.
Location Address2406 CONNOR CIRMount Airy, MD 21771-5960
Mailing Address2406 Connor CirMount Airy, MD 21771-5960 · (612) 850-5919 · Fax (301) 682-3515
Phone(612) 850-5919
Fax(301) 682-3515
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2012
Enumeration DateApril 12, 2012
Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1215294434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MD · D0081849
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 ListedEmergency MedicineTaxonomy 207P00000X · License D0081849 (MD)
Also ListedFamily MedicineTaxonomy 207Q00000X · License D0081849 (MD)
Also ListedSurgeryTaxonomy 208600000X · License D0081849 (MD)
2406 CONNOR CIR, Mount Airy, MD 21771
Open in Google Maps ↗

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

Dr. Michael Richard Tholen 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 ID8729374731
PECOS Enrollment IDI20161212000418
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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 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.
18 services14 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.
18 services17 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.
16 services16 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services15 patients
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.
11 services11 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.

18.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost61.03

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 Michael Tholen's NPI number?

The NPI number for Michael Tholen is 1215294434. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Michael Tholen located?

Michael Tholen practices at 2406 Connor Cir, Mount Airy, MD 21771. The listed phone number is (612) 850-5919.

What is Michael Tholen's specialty?

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

Is Michael Tholen enrolled in Medicare?

Yes. Michael Tholen 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 Michael Tholen was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.