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THOMAS PATRICK CARMODY MD
NPI 1275534406
Emergency Medicine in Downers Grove, IL

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
3815 HIGHLAND AVE, ADVOCATE GOOD SAMARITAN HOSPITAL, DOWNERS GROVE, IL 60515(630) 275-5900(630) 734-1560 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Patrick Carmody Md NPPES

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

THOMAS PATRICK CARMODY MD (NPI 1275534406) is an individual emergency medicine provider in Downers Grove, Illinois, licensed in Illinois (036-099110) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Osf Saint Paul Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1275534406
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS PATRICK CARMODYCredential: MD
Location Address3815 HIGHLAND AVE, ADVOCATE GOOD SAMARITAN HOSPITALDowners Grove, IL 60515-1500
Mailing AddressPo Box 95279Chicago, IL 60694-5279 · (877) 485-4474
Phone(630) 275-5900
Fax(630) 734-1560
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996
Enumeration DateAugust 10, 2005
Last NPPES UpdateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
✔ NPI 1275534406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036-099110
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3815 HIGHLAND AVE, Downers Grove, IL 60515
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Other Identifiers 1

Medicaid036099110IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Patrick Carmody 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 ID9032107727
PECOS Enrollment IDI20040825000310
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Thomas Carmody reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dupage Emergency Physicians Convenient Care LLC
11 mi
Emergency Medicine
15900 127TH ST
Lemont, IL 60439
  • Reassigned Medicare billing, Illinois enrollment
  • 54 clinicians in this Medicare group
NPI 1922000363 (630) 243-7100
Em Strategies,ltd.
19 mi
Emergency Medicine
1900 SILVER CROSS BLVD
New Lenox, IL 60451
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1679791834 (815) 300-1100
Waukegan Clinic Corp
40 mi
Family Medicine
1324 N SHERIDAN RD
Waukegan, IL 60085
  • Reassigned Medicare billing, Illinois enrollment
  • 166 clinicians in this Medicare group
NPI 1306937289 (847) 360-3000
Osf Multi-Specialty Group
112 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Wabash General Hospital District
234 mi
General Practice
1418 COLLEGE DR
Mount Carmel, IL 62863
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1194728808 (Illinois)
  • 99 clinicians in this Medicare group
NPI 1295834208 (618) 262-8621
Statera Health Care, LLC
284 mi
Emergency Medicine
100 DR WARREN TUTTLE DR
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 169 clinicians in this Medicare group
NPI 1043874449 (618) 833-1691

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
300 services279 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
215 services195 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
81 services76 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Osf Saint Paul Medical Center

Critical Access Hospitals · Mendota, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141310
Location1401 E 12th StreetMendota, IL 61342 · La Salle County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

STEPHANIE WOLFF PA-C
Physician Assistant
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
ABIGAIL MAZUREK
Physical Therapist
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
DR. MICHAEL J IWANICKI D.O.
Surgery
3815 HIGHLAND AVE, TOWER 2, SUITE 107
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800
TRAUMA AND SURGICAL SPECIALISTS OF DUPAGE, LLC
Surgery
3815 HIGHLAND AVE, TOWER 2, SUITE 107
DOWNERS GROVE, IL 60515
Dupage County (630) 275-7800
DR. JUSTIN GRIFFITH MILLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 324-7913
ZACHARY JOHN BASTIAN M.D.
Anesthesiology
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
MANISA BAKER APN
Clinical Nurse Specialist (Acute Care)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900
MARY SUE DAILEY APRN
Clinical Nurse Specialist (Adult Health)
3815 HIGHLAND AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 275-5900

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 Carmody's NPI number?

The NPI number for Thomas Carmody is 1275534406. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Thomas Carmody located?

Thomas Carmody practices at 3815 Highland Ave Advocate Good Samaritan Hospital, Downers Grove, IL 60515. The listed phone number is (630) 275-5900.

What is Thomas Carmody's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Carmody enrolled in Medicare?

Yes. Thomas Carmody 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.

Which organizations bill Medicare for Thomas Carmody's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Carmody reassigns Medicare benefits to 6 organizations: Dupage Emergency Physicians Convenient Care LLC (Lemont, IL), Em Strategies,ltd. (New Lenox, IL), Waukegan Clinic Corp (Waukegan, IL), Osf Multi-Specialty Group (Peoria, IL), Wabash General Hospital District (Mount Carmel, IL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Carmody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Carmody accept?

Health plans from Oscar Health list Thomas Carmody 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 Carmody affiliated with any hospitals?

According to CMS data, Thomas Carmody is affiliated with Osf Saint Paul Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Carmody was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.