THOMAS M PINSON D.O.
NPI 1326021262
Family Medicine in Southgate, MI

Q: What is Thomas Pinson's NPI number?

The NPI number for Thomas Pinson is 1326021262. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Q: What is Thomas Pinson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Pinson was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 23, 2005PECOS EnrolledAccepts Medicare Assignment

81.63/100

CMS Quality Rating

13636 DIX TOLEDO RD, SOUTHGATE, MI 48195(734) 283-2262(734) 283-8121 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Thomas M Pinson D.o. NPPES

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

THOMAS M PINSON D.O. (NPI 1326021262) is an individual family medicine provider in Southgate, Michigan, licensed in Michigan (5101009701) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1986).

NPPES Registry Identity

NPI1326021262

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS M PINSONCredential: D.O.

Location Address13636 DIX TOLEDO RDSouthgate, MI 48195-2432

Mailing Address13636 Dix Toledo RdSouthgate, MI 48195-2432 · (734) 283-2262 · Fax (734) 283-8121

Phone(734) 283-2262

Fax(734) 283-8121

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1986

Enumeration DateNovember 23, 2005

Last NPPES UpdateAugust 2, 2013

✔ NPI 1326021262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101009701

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.

13636 DIX TOLEDO RD, Southgate, MI 48195

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Other Identifiers 3

Medicare ID-Type UnspecifiedOM49160MI

Medicare UPINB47316

Medicaid4113657MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas M Pinson D.o. 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 ID4587556931

PECOS Enrollment IDI20100218000067

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 13

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.

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.

540 services241 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

454 services223 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.

73 services58 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.

68 services40 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

52 services32 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

37 services14 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

27 services26 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

27 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

26 services26 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

24 services22 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

14 services13 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230216

Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

81.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

65.63

Improvement Activities

Cost

57.49

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%46 patients

Appropriate Treatment for Upper Respiratory Infection (URI)

63%56 patients3/55-star benchmark: 100%

Breast Cancer Screening

25%536 patients2/55-star benchmark: 93%

Cervical Cancer Screening

8%864 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

6%34 patients

Closing the Referral Loop: Receipt of Specialist Report

12%115 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

12%1,430 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

70%929 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

1%386 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

80%386 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

93%6,898 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

5%395 patients1/55-star benchmark: 100%

HIV Screening

1%1,881 patients1/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

38%2,136 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

13%1,404 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

14%3,733 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 10% · 2,043 patients

Patients screened: 13% · 2,043 patients

42%98 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

76%562 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 7% · 376 patients

Patients totalRate: 33% · 455 patients

38%455 patients1/55-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 7

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

6 suppliers19 claims60 services$7.05 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims20 services$1.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers17 claims17 services$65.81 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers17 claims17 services$31.14 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

5 suppliers22 claims3,622 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers29 claims29 services$199.25 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 10

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

STROIA CHIROPRACTIC CLINIC

Chiropractor

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 283-2262

MS. KRISTEN ZIMMER P.A.-C.

Physician Assistant

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 283-2262

NABEEL OMAR PA-C

Physician Assistant

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 283-2262

JERRY DWIGHT SWINDLE D.C.

Chiropractor

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 283-2262

STOPIN PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 288-3115

ANNAMALAI PERUMAL RPH

Pharmacist

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 288-3115

METROPOLITAN PHYSICAL THERAPY AGENCY, INC.

Clinic/Center (Health Service)

13636 DIX TOLEDO RD, SUITE B
SOUTHGATE, MI 48195

Wayne County (734) 283-2262

CITY MEDICAL CHIROPRACTIC PLLC

Chiropractor

13636 DIX TOLEDO RD
SOUTHGATE, MI 48195

Wayne County (734) 283-2262

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 Pinson's NPI number?

The NPI number for Thomas Pinson is 1326021262. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Thomas Pinson located?

Thomas Pinson practices at 13636 Dix Toledo Rd, Southgate, MI 48195. The listed phone number is (734) 283-2262.

What is Thomas Pinson's specialty?

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

Is Thomas Pinson enrolled in Medicare?

Yes. Thomas Pinson 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 Pinson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thomas Pinson 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 Pinson affiliated with any hospitals?

According to CMS data, Thomas Pinson is affiliated with Henry Ford Health Hospital, Beaumont Hospital Royal Oak and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Thomas Pinson was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.