DR. THOMAS R. DALTON MD
NPI 1336376243
Emergency Medicine in Oakland, CA

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
747 52ND ST, UCSF BENIOFF CHILDREN'S HOSPITAL OAKLAND, OAKLAND, CA 94609(510) 428-3331 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thomas R. Dalton Md NPPES

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

DR. THOMAS R. DALTON MD (NPI 1336376243) is an individual emergency medicine provider in Oakland, California, licensed in California (A119325) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2009).

NPPES Registry Identity

NPI1336376243
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS R. DALTONCredential: MD
Location Address747 52ND ST, UCSF BENIOFF CHILDREN'S HOSPITAL OAKLANDOakland, CA 94609-1809
Mailing Address747 52nd St, Ucsf Benioff Children's Hospital OaklandOakland, CA 94609-1809 · (510) 428-3331
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateMay 3, 2017
✔ NPI 1336376243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A119325
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
747 52ND ST, Oakland, CA 94609

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 R. Dalton 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 ID7113181769
PECOS Enrollment IDI20120611000329
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

3

Medicare enrollment records show Thomas Dalton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1101 VAN NESS AVE
San Francisco, CA 94109
  • Reassigned Medicare billing, California enrollment
  • 155 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 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 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.

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.
248 services242 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.
211 services194 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
96 services94 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.
60 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Dalton's NPI number?

The NPI number for Thomas Dalton is 1336376243. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Thomas Dalton located?

Thomas Dalton practices at 747 52nd St Ucsf Benioff Children's Hospital Oakland, Oakland, CA 94609. The listed phone number is (510) 428-3331.

What is Thomas Dalton's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Dalton enrolled in Medicare?

Yes. Thomas Dalton 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 Dalton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Dalton reassigns Medicare benefits to 3 organizations: San Francisco Emergency Medical Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Dalton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Dalton was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.