THOMAS PEPONIS MD
NPI 1306376538
Colon & Rectal Surgery in Worcester, MA

Q: What is Thomas Peponis's NPI number?

The NPI number for Thomas Peponis is 1306376538. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Q: What is Thomas Peponis's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Peponis was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment

67 BELMONT ST, WORCESTER, MA 01605(508) 334-8195(508) 334-8130 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2022, Jun 20, 2017 (2 updates tracked since 2017).

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About Thomas Peponis Md NPPES

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

THOMAS PEPONIS MD (NPI 1306376538) is an individual colon & rectal surgery provider in Worcester, Massachusetts, licensed in Massachusetts (1015489) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306376538

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameTHOMAS PEPONISCredential: MD

Location Address67 BELMONT STWorcester, MA 01605-2657

Mailing AddressPo Box 415348Boston, MA 02241-5348

Phone(508) 334-8195

Fax(508) 334-8130

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 20, 2017

Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration

NPPES CertifiedAugust 4, 2023

✔ NPI 1306376538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

Licenses✔ Licensed in MA · 1015489✔ Licensed in MN · 70847

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 271242 (MA)

67 BELMONT ST, Worcester, MA 01605

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Secondary Practice Locations 2

Location 1Massachusetts General Hospital, 55 Fruit St.Boston, MA 02114 · Phone (617) 726-2800

Location 2200 1st St SWRochester, MN 55905-0002 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Peponis 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 ID4587937891

PECOS Enrollment IDI20230817003490

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 14

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

72 services25 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

47 services43 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

39 services16 patients

Test for tone and sensation of rectum and anus 91120

This procedure checks the health of the lower digestive tract. The doctor gently examines the area to assess its muscle strength and sensitivity. This helps in detecting any abnormal conditions. It's a standard, safe procedure with minimal discomfort.

39 services16 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.

35 services35 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.

34 services30 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

32 services30 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.

30 services24 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.

24 services24 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

17 services17 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

17 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

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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.

KAITLYN OLDEWURTEL DO

Colon & Rectal Surgery

67 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 334-8195

MARK WEBSTER MAXFIELD M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

67 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 334-5826

MIRRET EL-HAGRASSY

Psychiatry & Neurology (Neurology)

67 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 334-6641

DR. GEOFFREY M GRAEBER M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

67 BELMONT ST, DIVISION OF THORACIC SURGERY
WORCESTER, MA 01605

Worcester County (508) 334-8996

DR. FRANCIS MICHAEL HUTTINGER MD

Psychiatry & Neurology (Neurology)

67 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 334-6641

MS. JANET A MCDADE NP

Nurse Practitioner

67 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 334-8195

MR. MIN SHICK AHN MD

Otolaryngology

67 BELMONT ST, STE 103
WORCESTER, MA 01605

Worcester County (508) 755-8623

CARLOS FAIREN ORO MD

Surgery

67 BELMONT ST
WORCESTER, MA 01605

Worcester County (508) 334-8195

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 Peponis's NPI number?

The NPI number for Thomas Peponis is 1306376538. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Thomas Peponis located?

Thomas Peponis practices at 67 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-8195.

What is Thomas Peponis's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Thomas Peponis enrolled in Medicare?

Yes. Thomas Peponis 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 Peponis accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Peponis 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 Peponis affiliated with any hospitals?

According to CMS data, Thomas Peponis is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Thomas Peponis was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.