WILLIAM H THOM M.D.
NPI 1225015456
Anesthesiology - Pain Medicine in Jerseyville, IL

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
74.42/100
CMS Quality Rating
400 MAPLE SUMMIT RD, PAIN CENTER, JERSEYVILLE, IL 62052(618) 498-2273(618) 498-8316 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2024, Jan 26, 2023, Sep 23, 2022 and 2 more (5 updates tracked since 2021).

About William H Thom M.d. NPPES

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

WILLIAM H THOM M.D. (NPI 1225015456) is an individual pain medicine provider in Jerseyville, Illinois, licensed in Illinois (036.118645) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Anthony's Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225015456
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameWILLIAM H THOMCredential: M.D.
Location Address400 MAPLE SUMMIT RD, PAIN CENTERJerseyville, IL 62052
Mailing Address390 Maple Summit RdJerseyville, IL 62052-2000 · (618) 498-7518 · Fax (618) 498-3052
Fax(618) 498-8316
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2001
Enumeration DateDecember 29, 2005
Last NPPES UpdateNovember 13, 20245 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1225015456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Licenses Licensed in IL · 036.118645 Licensed in MO · 2004005755
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 036118645 (IL)
400 MAPLE SUMMIT RD, Jerseyville, IL 62052

Secondary Practice Locations 3

Location 16828 State Route 162 Ste AMaryville, IL 62062-8558 · Phone (618) 288-8363 · Fax (618) 288-8364
Location 2220 E County Rd, E Annex BldgJerseyville, IL 62052 · Phone (618) 498-8467 · Fax (618) 639-2017
Location 312 Wolf Creek, Suite 200Swansea, IL 62206 · Phone (618) 239-9910 ext. 1100 · Fax (618) 239-9795

Other Identifiers 6

Other900068033IL · Tax-id#
Other036118645IL · Il License
Medicaid255414300MN
Other752332IL · Healthlink
Other900068033IL · Essence
Other08220357IL · Bcbs Grp#

Accepted Insurance

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

William H Thom 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 ID2466480736
PECOS Enrollment IDI20070912000451
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 25

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.

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.
228 services100 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
116 services19 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.
115 services57 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
68 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services30 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
56 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

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.

74.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.31
Promoting Interoperability85
Improvement Activities40
Cost56.92

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%28 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%74 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%65 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Anesthetist, Certified Registered
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Surgery
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Clinic/Center
400 MAPLE SUMMIT RD, STE 300
JERSEYVILLE, IL 62052
Specialist
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Registered Nurse (Diabetes Educator)
400 MAPLE SUMMIT RD, JERSEY COMMUNITY HOSPITAL
JERSEYVILLE, IL 62052
Radiology (Diagnostic Radiology)
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
General Acute Care Hospital
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052
Medicare Defined Swing Bed Unit
400 MAPLE SUMMIT RD
JERSEYVILLE, IL 62052

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 William Thom's NPI number?

The NPI number for William Thom is 1225015456. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is William Thom located?

William Thom practices at 400 Maple Summit Rd Pain Center, Jerseyville, IL 62052. The listed phone number is (618) 498-2273.

What is William Thom's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is William Thom enrolled in Medicare?

Yes. William 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.

What insurance does William Thom accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list William 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 William Thom affiliated with any hospitals?

According to CMS data, William Thom is affiliated with Osf Saint Anthony's Health Center, Jersey Community Hospital, Anderson Hospital and Community Hospital Of Staunton.

When was this NPI record last updated?

The NPPES record for William Thom was last updated on November 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.