THOMAS E. SCARBOROUGH M.D.
NPI 1235194200
Allergy & Immunology in Billings, MT

Q: What is Thomas Scarborough's NPI number?

The NPI number for Thomas Scarborough is 1235194200. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Thomas Scarborough's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

3860 AVENUE B STE C, BILLINGS, MT 59102(406) 237-5500(406) 237-5510 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Jan 19, 2021 (2 updates tracked since 2021).

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About Thomas E. Scarborough M.d. NPPES

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

THOMAS E. SCARBOROUGH M.D. (NPI 1235194200) is an individual allergy & immunology provider in Billings, Montana, licensed in Montana (11697) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Healthcare, and is a graduate of University Of Cincinnati College Of Medicine (1999).

NPPES Registry Identity

NPI1235194200

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameTHOMAS E. SCARBOROUGHCredential: M.D.

Location Address3860 AVENUE B STE CBillings, MT 59102-6273

Mailing Address3860 Avenue B Ste CBillings, MT 59102-6273 · (406) 237-5500 · Fax (406) 237-5510

Phone(406) 237-5500

Fax(406) 237-5510

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1999

Enumeration DateApril 20, 2006

Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1235194200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in MT · 11697

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

3860 AVENUE B STE C, Billings, MT 59102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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

Thomas E. Scarborough 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 ID1557436193

PECOS Enrollment IDI20080818000228

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 7

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

1,724 services38 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

218 services13 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.

127 services101 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

64 services51 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.

57 services57 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Vincent Healthcare

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number270049

Location1233 N 30th StBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Holy Rosary Healthcare

Critical Access Hospitals · Miles City, MT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number271347

Location2600 Wilson StMiles City, MT 59301 · Custer County

Emergency services Birthing friendly

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 supplier12 claims42 services$18.34 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier13 claims13 services$5.59 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims8,320 services$9.55 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

1 supplier13 claims208 services$2.37 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

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

MONTANA ALLERGY, PLLC

Allergy & Immunology

3860 AVENUE B STE C
BILLINGS, MT 59102

Yellowstone County (406) 237-5500

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 Thomas Scarborough's NPI number?

The NPI number for Thomas Scarborough is 1235194200. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Thomas Scarborough located?

Thomas Scarborough practices at 3860 Avenue B Ste C, Billings, MT 59102. The listed phone number is (406) 237-5500.

What is Thomas Scarborough's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Thomas Scarborough enrolled in Medicare?

Yes. Thomas Scarborough 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 Thomas Scarborough accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Thomas Scarborough 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 Thomas Scarborough affiliated with any hospitals?

According to CMS data, Thomas Scarborough is affiliated with St Vincent Healthcare and Holy Rosary Healthcare.

When was this NPI record last updated?

The NPPES record for Thomas Scarborough was last updated on August 30, 2022. 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.