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RICHARD L THOMAS M.D.
NPI 1225297237
Orthopaedic Surgery - Orthopaedic Trauma in Gainesville, GA

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
82.55/100
CMS Quality Rating
1211 SHERWOOD PARK DR NE STE A, GAINESVILLE, GA 30501(770) 219-3202 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2023, Nov 16, 2022 (2 updates tracked since 2022).

About Richard L Thomas M.d. NPPES

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

RICHARD L THOMAS M.D. (NPI 1225297237) is an individual orthopaedic trauma provider in Gainesville, Georgia, licensed in Georgia (72143) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Johns Creek.

NPPES Registry Identity

NPI1225297237
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NameRICHARD L THOMASCredential: M.D.
Location Address1211 SHERWOOD PARK DR NE STE AGainesville, GA 30501-3444
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(770) 219-3202
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2008
Enumeration DateJune 4, 2008
Last NPPES UpdateFebruary 8, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1225297237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in GA · 72143
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
1211 SHERWOOD PARK DR NE STE A, Gainesville, GA 30501
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Secondary Practice Location 1

Location 16335 Hospital Pkwy, Suite 202Johns Creek, GA 30097-1549 · Phone (404) 778-8078

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Richard L Thomas 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 ID4688813223
PECOS Enrollment IDI20141021001477
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 Reassignments

3

Medicare enrollment records show Richard Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Georgia Physicians Group Inc
0.3 mi
Family Medicine
743 SPRING ST NE
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 1,172 clinicians in this Medicare group
NPI 1891745212 (770) 219-9000
The Emory Clinic Inc
46 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144
Emory Medical Care Foundation Inc
50 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717

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 9

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.

X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
55 services30 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.
47 services35 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
45 services26 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.
39 services30 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
28 services15 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
26 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Habersham

Acute Care Hospitals · Demorest, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110041
Location541 Historic Highway 441-NorthDemorest, GA 30535 · Habersham County
Emergency services Birthing friendly

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin 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.

82.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.14
Promoting Interoperability100
Improvement Activities40
Cost60.7

Other Providers at the Same Location NPPES 15

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

KATIE JO WACKER PA-C
Physician Assistant
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
JONATHAN BRIAN HART PA
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
DR. TIMOTHY JOHN STEVENS M.D.
Surgery (Surgical Critical Care)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
ERICA ELIZABETH WEST
Physician Assistant (Medical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
KATRINA MARIE NATALE PARKER AGACNP
Nurse Practitioner (Acute Care)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-9000
SHANE LEON GIDDENS PA-C
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
SORIN GEORGE CIRCA PA
Physician Assistant
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202
KELLY-ANN PETERS PA-C
Physician Assistant (Surgical)
1211 SHERWOOD PARK DR NE STE A
GAINESVILLE, GA 30501
Hall County (770) 219-3202

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 Richard Thomas's NPI number?

The NPI number for Richard Thomas is 1225297237. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Richard Thomas located?

Richard Thomas practices at 1211 Sherwood Park Dr NE Ste A, Gainesville, GA 30501. The listed phone number is (770) 219-3202.

What is Richard Thomas's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Richard Thomas enrolled in Medicare?

Yes. Richard 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.

Which organizations bill Medicare for Richard Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Thomas reassigns Medicare benefits to 3 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA), The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). Each 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 Richard Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Thomas accept?

Health plans from Alliant Health Plans, Inc. list Richard 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 Richard Thomas affiliated with any hospitals?

According to CMS data, Richard Thomas is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Union General Hospital and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Richard Thomas was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.