DR. THOMAS S DELIZIO MD
NPI 1316938426
Family Medicine in Electra, TX

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1207 S BAILEY ST, ELECTRA, TX 76360(940) 495-4215(940) 495-3171 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas S Delizio Md NPPES

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

DR. THOMAS S DELIZIO MD (NPI 1316938426) is an individual family medicine provider in Electra, Texas, licensed in Texas (K0285) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with United Regional Health Care System, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1995).

NPPES Registry Identity

NPI1316938426
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS S DELIZIOCredential: MD
Location Address1207 S BAILEY STElectra, TX 76360-3221
Mailing Address1207 S Bailey St, Po Box 1112Electra, TX 76360-3221 · (940) 495-4215 · Fax (940) 495-3171
Fax(940) 495-3171
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1995
Enumeration DateOctober 31, 2005
Last NPPES UpdateMay 30, 2008
NPI 1316938426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K0285
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.
1207 S BAILEY ST, Electra, TX 76360

Other Identifiers 5

Medicaid096726702TX
Medicare UPING44989TX
Other00558DTX · Blue Cross
Other080126386TX · Railroad Medicare Pin
Medicare PIN00558D

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

Dr. Thomas S Delizio 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 ID2264595438
PECOS Enrollment IDI20090114000315
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 5

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
133 services19 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
25 services17 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
25 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

United Regional Health Care System

Acute Care Hospitals · Wichita Falls, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450010
Location1600 11th StreetWichita Falls, TX 76301 · Wichita County
Emergency services Birthing friendly

Electra Memorial Hospital

Critical Access Hospitals · Electra, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451343
Location1207 S Bailey StreetElectra, TX 76360 · Wichita County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76360 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%6,506 patients5/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
2%419 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
74%39 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%659 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 23

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
9 suppliers64 claims135 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers33 claims36 services$1.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers15 claims30 services$1.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers19 claims19 services$93.06 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims66 services$18.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers27 claims27 services$57.34 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 15

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

Clinic/Center (Rural Health)
1207 S BAILEY ST
ELECTRA, TX 76360
Nurse Practitioner (Family)
1207 S BAILEY ST
ELECTRA, TX 76360
Emergency Medicine
1207 S BAILEY ST
ELECTRA, TX 76360
Nurse Practitioner (Family)
1207 S BAILEY ST
ELECTRA, TX 76360
Nurse Practitioner (Family)
1207 S BAILEY ST
ELECTRA, TX 76360
Registered Nurse (General Practice)
1207 S BAILEY ST
ELECTRA, TX 76360
Physician Assistant
1207 S BAILEY ST
ELECTRA, TX 76360
Pharmacist
1207 S BAILEY ST
ELECTRA, TX 76360

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 Delizio's NPI number?

The NPI number for Thomas Delizio is 1316938426. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Thomas Delizio located?

Thomas Delizio practices at 1207 S Bailey St, Electra, TX 76360. The listed phone number is (940) 495-4215.

What is Thomas Delizio's specialty?

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

Is Thomas Delizio enrolled in Medicare?

Yes. Thomas Delizio 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 Delizio accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Thomas Delizio 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 Delizio affiliated with any hospitals?

According to CMS data, Thomas Delizio is affiliated with United Regional Health Care System and Electra Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Delizio was last updated on May 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.