DR. THOMAS T. SU M.D., PH.D.
NPI 1346417276
Dermatology in Glendale, CA

Active since May 09, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
633 N CENTRAL AVE, SUITE 305, GLENDALE, CA 91203(818) 244-7281(818) 244-5912 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas T. Su M.d., Ph.d. NPPES

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

DR. THOMAS T. SU M.D., PH.D. (NPI 1346417276) is an individual dermatology provider in Glendale, California, licensed in California (A94221) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2004).

NPPES Registry Identity

NPI1346417276
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. THOMAS T. SUCredential: M.D., PH.D.
Location Address633 N CENTRAL AVE, SUITE 305Glendale, CA 91203-1801
Mailing AddressPo Box 629Pasadena, CA 91102-0629 · (310) 528-5199
Fax(818) 244-5912
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2004
Enumeration DateMay 9, 2008
Last NPPES UpdateJune 12, 2013
NPI 1346417276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A94221
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

633 N CENTRAL AVE, Glendale, CA 91203

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 T. Su M.d., Ph.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 ID6103986112
PECOS Enrollment IDI20081120000719
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 24

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 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.
1,685 services876 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,048 services145 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,041 services656 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
750 services333 patients
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.
698 services459 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
459 services329 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91203 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 16

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

Dermatology (Procedural Dermatology)
633 N CENTRAL AVE, SUITE 305
GLENDALE, CA 91203
Dermatology
633 N CENTRAL AVE, SUITE 305
GLENDALE, CA 91203
Dentist (General Practice)
633 N CENTRAL AVE, SUITE 208
GLENDALE, CA 91203
Physical Therapist
633 N CENTRAL AVE, SUTIE 107
GLENDALE, CA 91203
Audiologist
633 N CENTRAL AVE, SUITE 106
GLENDALE, CA 91203
Dentist
633 N CENTRAL AVE, SUITE 203
GLENDALE, CA 91203
Nurse Practitioner (Family)
633 N CENTRAL AVE, #105
GLENDALE, CA 91203
Audiologist
633 N CENTRAL AVE, SUITE 201
GLENDALE, CA 91203

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 Su's NPI number?

The NPI number for Thomas Su is 1346417276. It was assigned to this individual provider in the NPPES registry on May 9, 2008.

Where is Thomas Su located?

Thomas Su practices at 633 N Central Ave Suite 305, Glendale, CA 91203. The listed phone number is (818) 244-7281.

What is Thomas Su's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Thomas Su enrolled in Medicare?

Yes. Thomas Su 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.

When was this NPI record last updated?

The NPPES record for Thomas Su was last updated on June 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.