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TONY THAI
NPI 1285017723
Family Medicine in Bristol, PA

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
83.11/100
CMS Quality Rating
501 BATH RD, BRISTOL, PA 19007(215) 785-9200 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 3, 2019, Jun 18, 2017 (2 updates tracked since 2017).

About Tony Thai NPPES

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

TONY THAI (NPI 1285017723) is an individual family medicine provider in Bristol, Pennsylvania, licensed in Pennsylvania (FT8280555) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285017723
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTONY THAI
Location Address501 BATH RDBristol, PA 19007-3101
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Phone(215) 785-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 1, 2015
Last NPPES UpdateJuly 3, 20192 updates tracked since enumeration
✔ NPI 1285017723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · FT8280555
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OT018101 (PA)
501 BATH RD, Bristol, PA 19007
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Tony Thai 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 ID8921331745
PECOS Enrollment IDI20190729002270
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 Reassignment

Medicare enrollment records show Tony Thai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

On Demand Urgent Care Group PC
19 mi
Urgent Care
6060 RIDGE AVE, STE 100
Philadelphia, PA 19128
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 81 clinicians in this Medicare group
NPI 1053729814 (215) 999-6060

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 5

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.
34 services32 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.
26 services26 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.
23 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services14 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19007 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

83.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Promoting Interoperability100
Improvement Activities40
Cost61.09

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
92%510 patients4/55-star benchmark: 100%
Chlamydia Screening for Women
62%748 patients
Closing the Referral Loop: Receipt of Specialist Report
2%198 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%584 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
21%34 patients1/55-star benchmark: 91%
Diabetes: Eye Exam
0%34 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%34 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%4,658 patients4/55-star benchmark: 100%
e-Prescribing
97%1,317 patients4/55-star benchmark: 100%
HIV Screening
11%4,134 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%4,123 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
38%4,486 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 9% · 1,610 patients
Patients screened: 10% · 1,610 patients
22%23 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
95%3,062 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 185 patients
Patients totalRate: 0% · 185 patients
0%185 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PRIME HEALTHCARE SERVICES LOWER BUCKS LLC
Clinic/Center
501 BATH RD
BRISTOL, PA 19007
Bucks County (215) 785-9200
DR. JOSEPH M BEDNAREK M.D.
Surgery
501 BATH RD, SUITE 208
BRISTOL, PA 19007
Bucks County (215) 781-9300
LOWER BUCKS RADIOLOGY ASSOCIATES PC
Radiology (Diagnostic Radiology)
501 BATH RD
BRISTOL, PA 19007
Bucks County (215) 785-9070
INTEGRATED HEALTH PHYSICIANS LLC
Internal Medicine
501 BATH RD
BRISTOL, PA 19007
Bucks County (440) 670-7774
MIN RAJ BHURTEL
Internal Medicine
501 BATH RD
BRISTOL, PA 19007
Bucks County (215) 785-9200
DR. LESTER LIBFRAIND M.D.
Radiology (Diagnostic Radiology)
501 BATH RD
BRISTOL, PA 19007
Bucks County (215) 785-9070
FEDERICO PEGUERO, M.D., LLC
Surgery
501 BATH RD
BRISTOL, PA 19007
Bucks County (215) 785-9392
RAJAN SHARMA KANDEL MD
Internal Medicine
501 BATH RD
BRISTOL, PA 19007
Bucks County (215) 785-9200

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 Tony Thai's NPI number?

The NPI number for Tony Thai is 1285017723. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Tony Thai located?

Tony Thai practices at 501 Bath Rd, Bristol, PA 19007. The listed phone number is (215) 785-9200.

What is Tony Thai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tony Thai enrolled in Medicare?

Yes. Tony Thai 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 organization bills Medicare for Tony Thai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Thai reassigns Medicare benefits to On Demand Urgent Care Group PC (Philadelphia, PA). The 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 Tony Thai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tony Thai accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tony Thai 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 Tony Thai was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.