DR. THOMAS CHI MD
NPI 1245360320
Urology in Birmingham, AL

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
76/100
CMS Quality Rating
2000 6TH AVE S, BIRMINGHAM, AL 35233(415) 476-4380 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Chi Md NPPES

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

DR. THOMAS CHI MD (NPI 1245360320) is an individual urology provider in Birmingham, Alabama, licensed in Alabama (AL.49915) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of California University Of Science And Medicine (2005).

NPPES Registry Identity

NPI1245360320
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. THOMAS CHICredential: MD
Location Address2000 6TH AVE SBirmingham, AL 35233-2110
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorYes
Medical School CMSCalifornia University Of Science And MedicineGraduated 2005
Enumeration DateMarch 6, 2007
Last NPPES UpdateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1245360320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in AL · AL.49915 Licensed in CA · A98150
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2000 6TH AVE S, Birmingham, AL 35233

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. Thomas Chi 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 ID1355529900
PECOS Enrollment IDI20250116000358
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 16

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 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.
138 services126 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
90 services23 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.
85 services79 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
72 services71 patients
Complete laser fragmentation of prostate including control of bleeding using an endoscope 52649
This procedure involves using a special scope and a laser to break down an enlarged gland in the lower body, improving comfort and function. It also includes managing any bleeding that may occur during this process.
70 services69 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.
42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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.

76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.87
Improvement Activities0
Cost74.28

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
7 suppliers45 claims7,080 services$1.46 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.

Pharmacy (Specialty Pharmacy)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Pharmacist (Ambulatory Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Acute Care)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Adult Health)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner (Family)
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S
BIRMINGHAM, AL 35233
Nurse Practitioner
2000 6TH AVE S, INTERVENTIONAL CARDIOLOGY/ STRUCTURAL HEART CLINIC
BIRMINGHAM, AL 35233

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 Chi's NPI number?

The NPI number for Thomas Chi is 1245360320. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Thomas Chi located?

Thomas Chi practices at 2000 6th Ave S, Birmingham, AL 35233. The listed phone number is (415) 476-4380.

What is Thomas Chi's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Chi enrolled in Medicare?

Yes. Thomas Chi 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 Chi accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Thomas Chi 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 Thomas Chi was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.