JEROME M THOMAS MD
NPI 1225133689
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Austin, TX

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3801 N LAMAR BLVD, SUITE 300, AUSTIN, TX 78756(512) 206-4300 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2022, Jan 10, 2020, Apr 10, 2017 (3 updates tracked since 2017).

About Jerome M Thomas Md NPPES

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

JEROME M THOMAS MD (NPI 1225133689) is an individual advanced heart failure and transplant cardiology provider in Austin, Texas, licensed in Texas (Q7972) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and is a graduate of Morehouse School Of Medicine (2003).

NPPES Registry Identity

NPI1225133689
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameJEROME M THOMASCredential: MD
Location Address3801 N LAMAR BLVD, SUITE 300Austin, TX 78756-4080
Mailing Address7800 Shoal Creek Blvd, Suite 205nAustin, TX 78757-1098 · (512) 206-4341 · Fax (512) 407-1947
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2003
Enumeration DateSeptember 13, 2006
Last NPPES UpdateFebruary 1, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2020
NPI 1225133689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in TX · Q7972
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA08617900 (NJ), MD437691 (PA), Q7972 (TX)
3801 N LAMAR BLVD, Austin, TX 78756

Other Identifiers 1

Medicaid3633612-02TX

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

Jerome M Thomas Md 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 ID8820192198
PECOS Enrollment IDI20161013002288
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.
1,186 services482 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.
857 services172 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.
293 services188 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.
258 services181 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
222 services46 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
161 services134 patients

Hospital Affiliations CMS Care Compare 5

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

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
78%386 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
96%80 patients4/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
99%564 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
81%110 patients4/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
97%105 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
56%379 patients4/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%558 patients4/55-star benchmark: 91%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier88 claims88 services$18.66 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier89 claims184 services$35.63 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier20 claims20 services$204.71 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier89 claims5,791 services$1.32 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.

Physician Assistant
3801 N LAMAR BLVD, SUITE 300
AUSTIN, TX 78756
Clinical Nurse Specialist (Adult Health)
3801 N LAMAR BLVD, SUITE 300
AUSTIN, TX 78756
Nurse Practitioner (Family)
3801 N LAMAR BLVD, STE 300
AUSTIN, TX 78756
Physician Assistant (Medical)
3801 N LAMAR BLVD, STE 300 AUSTIN HEART
AUSTIN, TX 78756
Anesthesiology
3801 N LAMAR BLVD
AUSTIN, TX 78756
Nurse Practitioner (Family)
3801 N LAMAR BLVD, STE 300
AUSTIN, TX 78756
Clinical Nurse Specialist (Adult Health)
3801 N LAMAR BLVD, STE 300
AUSTIN, TX 78756
Nurse Practitioner (Family)
3801 N LAMAR BLVD, SUITE 300
AUSTIN, TX 78756

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 Jerome Thomas's NPI number?

The NPI number for Jerome Thomas is 1225133689. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Jerome Thomas located?

Jerome Thomas practices at 3801 N Lamar Blvd Suite 300, Austin, TX 78756. The listed phone number is (512) 206-4300.

What is Jerome Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Jerome Thomas enrolled in Medicare?

Yes. Jerome Thomas 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 Jerome Thomas accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Jerome Thomas 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 Jerome Thomas affiliated with any hospitals?

According to CMS data, Jerome Thomas is affiliated with Columbus Community Hospital, St David's Medical Center, Hill Country Memorial Hospital, St David's South Austin Medical Center and Round Rock Medical Center.

When was this NPI record last updated?

The NPPES record for Jerome Thomas was last updated on February 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.