DR. THOMAS FRANCIS QUALTER III MD
NPI 1245515352
Radiology - Diagnostic Radiology in Middletown, OH

Active since October 20, 2011PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, MIDDLETOWN, OH 45005(513) 974-5154 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Jun 4, 2019, May 28, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Thomas Francis Qualter Iii Md NPPES

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

DR. THOMAS FRANCIS QUALTER III MD (NPI 1245515352) is an individual diagnostic radiology provider in Middletown, Ohio, licensed in Ohio (35.126892) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1245515352
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. THOMAS FRANCIS QUALTER IIICredential: MD
Location Address1 MEDICAL CENTER DRMiddletown, OH 45005-2584
Mailing AddressPo Box 750243Dayton, OH 45475-0243 · (937) 709-5051 · Fax (937) 709-5050
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2011
Enumeration DateOctober 20, 2011
Last NPPES UpdateJune 12, 20245 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1245515352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in OH · 35.126892 Licensed in MI · 4301111570
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 MEDICAL CENTER DR, Middletown, OH 45005

Secondary Practice Location 1

Location 11 Wyoming StDayton, OH 45409-2722 · Phone (937) 208-3118

Other Identifiers 1

Medicaid0088981OH

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 Francis Qualter Iii 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 ID5395984132
PECOS Enrollment IDI20170705003300
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 30

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.

Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
252 services244 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
231 services230 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
170 services163 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
149 services148 patients
Ct scan of blood vessels and grafts of heart with contrast 75574
A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.
138 services138 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
122 services122 patients

Hospital Affiliations CMS Care Compare 5

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360355
Location100 West Main StreetSpringfield, OH 45502 · Clark County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Emergency Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Internal Medicine
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Hospitalist
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Nurse Anesthetist, Certified Registered
1 MEDICAL CENTER DR
MIDDLETOWN, OH 45005
Anesthesiology
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MEDICAL CENTER DR
FRANKLIN, OH 45005
Rehabilitation Unit
1 MEDICAL CENTER DR
FRANKLIN, OH 45005

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 Qualter's NPI number?

The NPI number for Thomas Qualter is 1245515352. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Thomas Qualter located?

Thomas Qualter practices at 1 Medical Center Dr, Middletown, OH 45005. The listed phone number is (513) 974-5154.

What is Thomas Qualter's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Thomas Qualter enrolled in Medicare?

Yes. Thomas Qualter 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 Qualter accept?

Health plans from CareSource list Thomas Qualter 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 Qualter affiliated with any hospitals?

According to CMS data, Thomas Qualter is affiliated with Miami Valley Hospital, Atrium Medical Center, Kettering Health Dayton, Upper Valley Medical Center and Ohio Valley Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Qualter was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.