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MARIA THOMAS-JOHN MD
NPI 1285847855
Internal Medicine - Rheumatology in Dayton, OH

Active since May 08, 2007PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1520 S MAIN ST, SUITE 3, DAYTON, OH 45409(937) 208-7275(937) 208-7282 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maria Thomas-john Md NPPES

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

MARIA THOMAS-JOHN MD (NPI 1285847855) is an individual rheumatology provider in Dayton, Ohio, licensed in Ohio (35.087224) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2001).

NPPES Registry Identity

NPI1285847855
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMARIA THOMAS-JOHNCredential: MD
Location Address1520 S MAIN ST, SUITE 3Dayton, OH 45409-2698
Mailing Address1520 S Main St, Suite 3Dayton, OH 45409-2698 · (937) 208-7275 · Fax (937) 208-7282
Phone(937) 208-7275
Fax(937) 208-7282
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2001
Enumeration DateMay 8, 2007
Last NPPES UpdateNovember 19, 2013
✔ NPI 1285847855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in OH · 35.087224
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1520 S MAIN ST, Dayton, OH 45409
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN4217211OH
Medicaid2789611OH
Medicare PIN4217212OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Maria Thomas-john 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 ID840384335
PECOS Enrollment IDI20070914000048
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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
222,800 services55 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
21,720 services211 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
940 services263 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.
594 services323 patients
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.
169 services168 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.
80 services80 patients

Hospital Affiliations CMS Care Compare 5

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%219 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%322 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%360 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
70%138 patients3/55-star benchmark: 98%
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.

RANDALL M FULCHIERO M.D.
Internal Medicine (Pulmonary Disease)
1520 S MAIN ST, # 2
DAYTON, OH 45409
Montgomery County (937) 461-5815
DHARMESH V GANDHI M.D.
Internal Medicine (Pulmonary Disease)
1520 S MAIN ST, # 2
DAYTON, OH 45409
Montgomery County (937) 461-5815
JAMES J MURPHY M.D.
Internal Medicine (Pulmonary Disease)
1520 S MAIN ST, # 2
DAYTON, OH 45409
Montgomery County (937) 461-5815
DR. JOHN ANDREW FLEISHMAN M.D.
Ophthalmology
1520 S MAIN ST
DAYTON, OH 45409
Montgomery County (937) 223-1279
MR. MURTHY V GOLLAMUDI MD
Internal Medicine (Pulmonary Disease)
1520 S MAIN ST, SUITE 2
DAYTON, OH 45409
Montgomery County (937) 461-5815
ASSOCIATED EYE PHYSICIANS AND SURGEONS, INC
Ophthalmology
1520 S MAIN ST
DAYTON, OH 45409
Montgomery County (937) 223-1279
KENNETH A WELTY JR M.D.
Surgery (Plastic and Reconstructive Surgery)
1520 S MAIN ST, SUITE 200
DAYTON, OH 45409
Montgomery County (937) 228-5115
FRANK V TROHA M.D.
Surgery (Plastic and Reconstructive Surgery)
1520 S MAIN ST, SUITE 200
DAYTON, OH 45409
Montgomery County (937) 228-5115

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 Maria Thomas-john's NPI number?

The NPI number for Maria Thomas-john is 1285847855. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Maria Thomas-john located?

Maria Thomas-john practices at 1520 S Main St Suite 3, Dayton, OH 45409. The listed phone number is (937) 208-7275.

What is Maria Thomas-john's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Maria Thomas-john enrolled in Medicare?

Yes. Maria Thomas-john 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 Maria Thomas-john accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Maria Thomas-john 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 Maria Thomas-john affiliated with any hospitals?

According to CMS data, Maria Thomas-john is affiliated with Wilson Memorial Hospital, Miami Valley Hospital, Atrium Medical Center, Kettering Health Dayton and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Thomas-john was last updated on November 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.