DR. THOMAS HATLEY M.D.
NPI 1326073073
Family Medicine in Carlinville, IL
About Dr. Thomas Hatley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS HATLEY M.D. (NPI 1326073073) is an individual family medicine provider in Carlinville, Illinois, licensed in Illinois (036093232) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carlinville Area Hospital, and maintains a secondary practice location in Carlinville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Thomas Hatley M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Hatley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Carlinville, IL 62626
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1932275641 (Illinois)
- 86 clinicians in this Medicare group
Galesburg, IL 61401
- Reassigned Medicare billing, Illinois enrollment
- 36 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carlinville Area Hospital
Critical Access Hospitals · Carlinville, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62626 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CARLINVILLE, IL 62626
CARLINVILLE, IL 62626
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 Hatley's NPI number?
The NPI number for Thomas Hatley is 1326073073. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Thomas Hatley located?
Thomas Hatley practices at 20613 N Broad St, Carlinville, IL 62626. The listed phone number is (217) 368-3114.
What is Thomas Hatley's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thomas Hatley enrolled in Medicare?
Yes. Thomas Hatley 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 Hatley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Hatley reassigns Medicare benefits to 2 organizations: Carlinville Area Hospital Association (Carlinville, IL) and Sanburg Emergency Group, P.C. (Galesburg, IL). 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 Hatley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Thomas Hatley affiliated with any hospitals?
According to CMS data, Thomas Hatley is affiliated with Carlinville Area Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Hatley was last updated on July 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.