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THOMAS DUFF DO
NPI 1295782563
Emergency Medicine in Thomson, GA

Active since May 30, 2006PECOS Enrolled
521 HILL STREET SW, THOMSON, GA 30824(706) 597-5302(865) 291-3228 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2022, Jan 10, 2021 (2 updates tracked since 2021).

About Thomas Duff Do NPPES

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

THOMAS DUFF DO (NPI 1295782563) is an individual emergency medicine provider in Thomson, Georgia, licensed in Georgia (055000) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295782563
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS DUFFCredential: DO
Location Address521 HILL STREET SWThomson, GA 30824
Mailing AddressPo Box 636019Cincinnati, OH 45263-6019
Phone(706) 597-5302
Fax(865) 291-3228
Sole ProprietorNo
Enumeration DateMay 30, 2006
Last NPPES UpdateApril 21, 20222 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
✔ NPI 1295782563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 055000
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.
521 HILL STREET SW, Thomson, GA 30824
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Other Identifiers 5

OtherP00227249Railroad Medicare
OtherP00342771GA · Railroad Medicare
Medicaid667338672GGA
Medicaid667338672HGA
Medicaid667338672DGA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Duff Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Thomas Duff reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summers Emergency Physicians LLC
303 mi
Emergency Medicine
SUMMERS COUNTY ARH HOSPITAL, 1500 TERRACE STREET
Hinton, WV 25951
  • Reassigned Medicare billing, West Virginia enrollment
  • 35 clinicians in this Medicare group
NPI 1225243702 (304) 466-1000
Health Care Alliance, Inc.
307 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600
Beckley Emergency Physicians LLC
308 mi
Emergency Medicine
306 STANAFORD RD, EMERGENCY ROOM
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 80 clinicians in this Medicare group
NPI 1376757674 (304) 255-3000
Richbend Emergency Physicians, PLLC
405 mi
Emergency Medicine
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group
NPI 1093438830 (304) 636-3300

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.
78 services76 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
62 services56 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.
37 services36 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30824 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Duff's NPI number?

The NPI number for Thomas Duff is 1295782563. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Thomas Duff located?

Thomas Duff practices at 521 Hill Street SW, Thomson, GA 30824. The listed phone number is (706) 597-5302.

What is Thomas Duff's specialty?

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

Is Thomas Duff enrolled in Medicare?

Yes. Thomas Duff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Duff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Duff reassigns Medicare benefits to 4 organizations: Summers Emergency Physicians LLC (Hinton, WV), Health Care Alliance, Inc. (Beckley, WV), Beckley Emergency Physicians LLC (Beckley, WV) and Richbend Emergency Physicians, PLLC (Elkins, WV). 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 Duff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Duff accept?

Health plans from CareSource list Thomas Duff 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 Thomas Duff was last updated on April 21, 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.