DR. JAMES V THOMAS MD
NPI 1235175886
Family Medicine in Cullman, AL

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
1908 CHEROKEE AVE SW, CULLMAN, AL 35055(256) 736-1460(256) 775-1150 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James V Thomas Md NPPES

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

DR. JAMES V THOMAS MD (NPI 1235175886) is an individual family medicine provider in Cullman, Alabama, licensed in Alabama (18184) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1993).

NPPES Registry Identity

NPI1235175886
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES V THOMASCredential: MD
Location Address1908 CHEROKEE AVE SWCullman, AL 35055
Mailing Address1908 Cherokee Ave SwCullman, AL 35055-5502 · (256) 737-9416 · Fax (256) 736-5684
Fax(256) 775-1150
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1993
Enumeration DateJune 21, 2006
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
NPI 1235175886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 18184
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 18184 (AL)
1908 CHEROKEE AVE SW, Cullman, AL 35055

Other Identifiers 3

Other631189798AL · Tax Id
Medicaid009912575AL
Other051507133AL · Bluecross

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

Dr. James V 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 ID1557373453
PECOS Enrollment IDI20100826000749
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 20

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.
566 services183 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
366 services137 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
225 services121 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
118 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
96 services63 patients
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.
84 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35055 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

Referred Medical Equipment & Supplies CMS DME claims 3

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
2 suppliers13 claims13 services$21.35 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$4.80 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
2 suppliers22 claims22 services$119.38 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 8

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

Orthopaedic Surgery
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Family Medicine
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Orthopaedic Surgery
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Nurse Practitioner (Family)
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Nurse Practitioner (Family)
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Physical Therapist
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Family Medicine
1908 CHEROKEE AVE SW
CULLMAN, AL 35055
Physical Therapist
1908 CHEROKEE AVE SW
CULLMAN, AL 35055

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 James Thomas's NPI number?

The NPI number for James Thomas is 1235175886. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is James Thomas located?

James Thomas practices at 1908 Cherokee Ave SW, Cullman, AL 35055. The listed phone number is (256) 736-1460.

What is James Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Thomas enrolled in Medicare?

Yes. James 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 James Thomas accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list James 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.

When was this NPI record last updated?

The NPPES record for James Thomas was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.