JUSTIN THOMAS D.O.
NPI 1275949695
Neurological Surgery in Southfield, MI

Active since July 07, 2014PECOS EnrolledAccepts Medicare Assignment
16001 W 9 MILE RD, SOUTHFIELD, MI 48075(248) 849-3403 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Thomas D.o. NPPES

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

JUSTIN THOMAS D.O. (NPI 1275949695) is an individual neurological surgery provider in Southfield, Michigan, licensed in Michigan (5101021210) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1275949695
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJUSTIN THOMASCredential: D.O.
Location Address16001 W 9 MILE RDSouthfield, MI 48075-4818
Mailing Address18250 Birwood AveBeverly Hills, MI 48025-3137 · (248) 633-4033
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014
Enumeration DateJuly 7, 2014
NPI 1275949695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · 5101021210
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
16001 W 9 MILE RD, Southfield, MI 48075

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

Justin Thomas D.o. 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 ID5496045361
PECOS Enrollment IDI20210628000588
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 6

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
25 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients
Fusion of spine in lower back with partial removal of spine bone and disc 22633
This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
14 services13 patients
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052
This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.
14 services13 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Mackinac Straits Hospital And Health Center

Critical Access Hospitals · Saint Ignace, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231306
Location1140 N State StreetSaint Ignace, MI 49781 · Mackinac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Anesthesiology
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Pediatrics (Neonatal-Perinatal Medicine)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Acute Care)
16001 W 9 MILE RD, 101 FISCHER CENTER
SOUTHFIELD, MI 48075
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Adult Health)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Emergency Medicine
16001 W 9 MILE RD
SOUTHFIELD, MI 48075
Nurse Practitioner (Family)
16001 W 9 MILE RD
SOUTHFIELD, MI 48075

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 Justin Thomas's NPI number?

The NPI number for Justin Thomas is 1275949695. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Justin Thomas located?

Justin Thomas practices at 16001 W 9 Mile Rd, Southfield, MI 48075. The listed phone number is (248) 849-3403.

What is Justin Thomas's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Justin Thomas enrolled in Medicare?

Yes. Justin Thomas 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 Justin Thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Justin Thomas 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 Justin Thomas affiliated with any hospitals?

According to CMS data, Justin Thomas is affiliated with Mymichigan Medical Center Alpena, Mclaren Northern Michigan, Munson Healthcare Otsego Memorial Hospital and Mackinac Straits Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Justin Thomas was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.