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DAVID J THOMAS DO
NPI 1346218096
Surgery in Franklin, PA

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
6885 US HIGHWAY 322, SUITE 3, FRANKLIN, PA 16323(814) 678-4810(814) 678-4849 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2025, Apr 4, 2025, Feb 14, 2025 (3 updates tracked since 2025).

About David J Thomas Do NPPES

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

DAVID J THOMAS DO (NPI 1346218096) is an individual surgery provider in Franklin, Pennsylvania, licensed in Pennsylvania (OS015203) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1346218096
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID J THOMASCredential: DO
Location Address6885 US HIGHWAY 322, SUITE 3Franklin, PA 16323
Mailing Address6885 Us Highway 322, Suite 3Franklin, PA 16323 · (814) 678-4810 · Fax (814) 678-4849
Phone(814) 678-4810
Fax(814) 678-4849
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateMarch 9, 2006
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1346218096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · OS015203✔ Licensed in OH · 34.008080
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6885 US HIGHWAY 322, Franklin, PA 16323
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

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

David J Thomas Do 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 ID5496796179
PECOS Enrollment IDI20110304000363
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 David Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group Inc.
44 mi
Internal Medicine
7264 WARREN SHARON RD
Brookfield, OH 44403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 161 clinicians in this Medicare group
NPI 1902347438 (615) 467-4158
Indiana Healthcare Physician Services Inc
46 mi
Family
81 HILLCREST DR STE 106
Punxsutawney, PA 15767
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 187 clinicians in this Medicare group
NPI 1598391328 (814) 938-2064
Regional Health Services Inc
57 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140

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 6

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.
74 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services29 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.
27 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16323 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 4

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

ALLISON AMSLER
Physician Assistant
6885 US HIGHWAY 322, SUITE 3
FRANKLIN, PA 16323
Venango County (814) 678-4810
KIERSTIN ALLEY KREPPS PA-C
Physician Assistant (Medical)
6885 US HIGHWAY 322, SUITE 3
FRANKLIN, PA 16323
Venango County (814) 678-4810
CALEB THRASH MD
Surgery
6885 US HIGHWAY 322
FRANKLIN, PA 16323
Venango County (814) 678-4810
MICHAEL WARD
Surgery
6885 US HIGHWAY 322, SUITE 3
FRANKLIN, PA 16323
Venango County (814) 678-4810

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 David Thomas's NPI number?

The NPI number for David Thomas is 1346218096. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is David Thomas located?

David Thomas practices at 6885 Us Highway 322 Suite 3, Franklin, PA 16323. The listed phone number is (814) 678-4810.

What is David Thomas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Thomas enrolled in Medicare?

Yes. David Thomas 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 David Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Thomas reassigns Medicare benefits to 3 organizations: Steward Medical Group Inc. (Brookfield, OH), Indiana Healthcare Physician Services Inc (Punxsutawney, PA) and Regional Health Services Inc (Erie, PA). 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 David Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Thomas accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list David Thomas 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 David Thomas affiliated with any hospitals?

According to CMS data, David Thomas is affiliated with Upmc Northwest.

When was this NPI record last updated?

The NPPES record for David Thomas was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.