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THOMAS D STEWART MD
NPI 1316901200
Family Medicine in Hartford City, IN

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
2005 N WALNUT ST, HARTFORD CITY, IN 47348(765) 348-1100(765) 348-9717 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Thomas D Stewart Md NPPES

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

THOMAS D STEWART MD (NPI 1316901200) is an individual family medicine provider in Hartford City, Indiana, licensed in Indiana (01058047A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1316901200
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS D STEWARTCredential: MD
Location Address2005 N WALNUT STHartford City, IN 47348-1365
Mailing Address2005 N Walnut StHartford City, IN 47348-1365 · (765) 348-1100 · Fax (765) 348-9717
Phone(765) 348-1100
Fax(765) 348-9717
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1984
Enumeration DateApril 17, 2006
Last NPPES UpdateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1316901200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01058047A
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.
2005 N WALNUT ST, Hartford City, IN 47348
Open in Google Maps ↗

Secondary Practice Location 1

Location 1500 W Votaw StPortland, IN 47371-1322 · Phone (260) 726-7131 · Fax (260) 726-1975

Other Identifiers 6

Medicaid200459560IN
Other192590022IN · Medicare Ptan
OtherIN6313001IN · Medicare Ptan
OtherP00709052IN · Railroad Medicare
OtherM22404071IN · Medicare Ptan
OtherQ00200549IN · Medicare Ptan

Accepted Insurance

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

Thomas D Stewart 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 ID1850374836
PECOS Enrollment IDI20040610000980
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 Stewart reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Blackford Hospital Inc
0.7 mi
Physical Therapist
410 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1265021109 (765) 348-5776
Indiana University Health Ball Memorial Physicians, Inc.
0.8 mi
Family Medicine
400 PILGRIM BLVD
Hartford City, IN 47348
  • Reassigned Medicare billing, Indiana enrollment
  • 635 clinicians in this Medicare group
NPI 1043539232 (765) 348-5776
Indiana University Health Jay, Inc.
21 mi
Family Medicine
500 W VOTAW ST
Portland, IN 47371
  • Reassigned Medicare billing, Indiana enrollment
NPI 1639940976 (260) 726-8822
Iu Health Medical Group, LLC
63 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47348 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers60 claims149 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers19 claims21 services$0.90 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$24.32 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$4.73 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
2 suppliers18 claims1,992 services$6.68 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier12 claims60 services$2.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREFERRED PHYSICIANS PC
Family Medicine
2005 N WALNUT ST
HARTFORD CITY, IN 47348
Blackford County (765) 348-1100

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 Stewart's NPI number?

The NPI number for Thomas Stewart is 1316901200. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Thomas Stewart located?

Thomas Stewart practices at 2005 N Walnut St, Hartford City, IN 47348. The listed phone number is (765) 348-1100.

What is Thomas Stewart's specialty?

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

Is Thomas Stewart enrolled in Medicare?

Yes. Thomas Stewart 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 organizations bill Medicare for Thomas Stewart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Stewart reassigns Medicare benefits to 4 organizations: Indiana University Health Blackford Hospital Inc (Hartford City, IN), Indiana University Health Ball Memorial Physicians, Inc. (Hartford City, IN), Indiana University Health Jay, Inc. (Portland, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Stewart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Stewart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Thomas Stewart 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 Stewart affiliated with any hospitals?

According to CMS data, Thomas Stewart is affiliated with Lutheran Hospital Of Indiana, Indiana University Health, Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Thomas Stewart was last updated on March 22, 2024. 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.