THOMAS LANGTON PA
NPI 1285675017
Physician Assistant in Byron Center, MI

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7751 BYRON CENTER AVE SW, SUITE C, BYRON CENTER, MI 49315(616) 974-4668 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Feb 18, 2021 (2 updates tracked since 2021).

About Thomas Langton Pa NPPES

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

THOMAS LANGTON PA (NPI 1285675017) is an individual physician assistant in Byron Center, Michigan, licensed in Michigan (5601001942) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1285675017
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS LANGTONCredential: PA
Location Address7751 BYRON CENTER AVE SW, SUITE CByron Center, MI 49315-8001
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1285675017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601001942
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7751 BYRON CENTER AVE SW, Byron Center, MI 49315

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

Thomas Langton Pa 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 ID1052349693
PECOS Enrollment IDI20050803000911
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
83 services46 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
77 services41 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49315 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
7751 BYRON CENTER AVE SW, STE. A
BYRON CENTER, MI 49315
Internal Medicine (Geriatric Medicine)
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315
Physical Therapist
7751 BYRON CENTER AVE SW, SUITE B
BYRON CENTER, MI 49315
Nurse Practitioner
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315
Nurse Practitioner (Gerontology)
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315
Family Medicine
7751 BYRON CENTER AVE SW, SUITE A
BYRON CENTER, MI 49315
Physical Therapist
7751 BYRON CENTER AVE SW, SUITE B
BYRON CENTER, MI 49315
Family Medicine (Geriatric Medicine)
7751 BYRON CENTER AVE SW, SUITE C
BYRON CENTER, MI 49315

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 Langton's NPI number?

The NPI number for Thomas Langton is 1285675017. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Thomas Langton located?

Thomas Langton practices at 7751 Byron Center Ave SW Suite C, Byron Center, MI 49315. The listed phone number is (616) 974-4668.

What is Thomas Langton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Langton enrolled in Medicare?

Yes. Thomas Langton 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 Langton accept?

Health plans from McLaren Health Plan Community and Priority Health list Thomas Langton 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 Langton affiliated with any hospitals?

According to CMS data, Thomas Langton is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Thomas Langton was last updated on July 7, 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.