DR. THOMAS ROBERT ELMER VI MD
NPI 1255335907
Specialist in Amherst, NY

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
2825 NIAGARA FALLS BLVD, STE 130, AMHERST, NY 14228(716) 564-2020(716) 564-2060 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Robert Elmer Vi Md NPPES

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

DR. THOMAS ROBERT ELMER VI MD (NPI 1255335907) is an individual specialist in Amherst, New York, licensed in New York (224822-2) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1997).

NPPES Registry Identity

NPI1255335907
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. THOMAS ROBERT ELMER VICredential: MD
Location Address2825 NIAGARA FALLS BLVD, STE 130Amherst, NY 14228-2021
Mailing Address1837 Winter RdGrand Island, NY 14072-1053 · (716) 864-5479 · Fax (716) 564-2060
Fax(716) 564-2060
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1997
Enumeration DateJune 10, 2005
Last NPPES UpdateJune 1, 2016
NPI 1255335907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 224822-2
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2825 NIAGARA FALLS BLVD, Amherst, NY 14228

Other Identifiers 14

Other161578122NY · Amerisight
Medicare PINRA5459NY
Medicare PINRA5458NY
Other161578122NY · Nova
Other251744484NY · Empire - United Healthcar
Other251744484NY · North American Preferred
Other161578122NY · North American Preferred
Medicaid02286299NY
Other161578122NY · Vision Lca
Medicare UPINH72117NY
Other00011122301NY · Univera
Other251744484NY · Nova
OtherP00225786NY · Medicare Railroad
Other161578122NY · Empire - United Healthcar

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 Robert Elmer Vi 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 ID1052361573
PECOS Enrollment IDI20050125000281
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 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.

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.
140 services113 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
133 services77 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
106 services105 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 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.
62 services57 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
40 services32 patients

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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.56

Other Providers at the Same Location NPPES 11

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

Ophthalmology
2825 NIAGARA FALLS BLVD, SUITE 130
AMHERST, NY 14228
Optometrist
2825 NIAGARA FALLS BLVD, STE 130
AMHERST, NY 14228
Optometrist
2825 NIAGARA FALLS BLVD, SUITE 130
AMHERST, NY 14228
Dentist
2825 NIAGARA FALLS BLVD, SUITE 170
AMHERST, NY 14228
Optometrist
2825 NIAGARA FALLS BLVD, STE 130
AMHERST, NY 14228
Optometrist
2825 NIAGARA FALLS BLVD, SUITE 130
AMHERST, NY 14228
Eyewear Supplier
2825 NIAGARA FALLS BLVD, SUITE 130
AMHERST, NY 14228
Specialist
2825 NIAGARA FALLS BLVD, STE 130
AMHERST, NY 14228

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 Elmer's NPI number?

The NPI number for Thomas Elmer is 1255335907. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Thomas Elmer located?

Thomas Elmer practices at 2825 Niagara Falls Blvd Ste 130, Amherst, NY 14228. The listed phone number is (716) 564-2020.

What is Thomas Elmer's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Thomas Elmer enrolled in Medicare?

Yes. Thomas Elmer 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 Elmer accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Thomas Elmer 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 Elmer was last updated on June 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.