DR. THOMAS HATLEY M.D.
NPI 1326073073
Family Medicine in Carlinville, IL

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
20613 N BROAD ST, CARLINVILLE, IL 62626(217) 368-3114 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1326073073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS HATLEYCredential: M.D.
Location Address20613 N BROAD STCarlinville, IL 62626
Mailing Address20613 N Broad StCarlinville, IL 62626-3720 · (217) 854-3881
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1988
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 19, 2018
NPI 1326073073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036093232
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-093232 (IL)
20613 N BROAD ST, Carlinville, IL 62626

Secondary Practice Location 1

Location 120733 N Broad StCarlinville, IL 62626-3710 · Phone (217) 854-3141 · Fax (217) 854-3894

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 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.

PECOS PAC ID5395835227
PECOS Enrollment IDI20071217000072, I20150803001933
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services28 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
15 services13 patients

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, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141347
Location20733 N Broad StreetCarlinville, IL 62626 · Macoupin County
Emergency services

Physician 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.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.84
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Psychiatric/Mental Health)
20613 N BROAD ST
CARLINVILLE, IL 62626
Physician Assistant
20613 N BROAD ST
CARLINVILLE, IL 62626
Clinic/Center (Rural Health)
20613 N BROAD ST
CARLINVILLE, IL 62626
Clinical Medical Laboratory
20613 N BROAD ST
CARLINVILLE, IL 62626
Nurse Practitioner
20613 N BROAD ST
CARLINVILLE, IL 62626
Internal Medicine
20613 N BROAD ST
CARLINVILLE, IL 62626
Family Medicine
20613 N BROAD ST, SUITE B
CARLINVILLE, IL 62626
Social Worker (Clinical)
20613 N BROAD ST
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.

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.