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DR. TISON THOMAS D.O.
NPI 1346694312
Family Medicine in Lewiston, ME

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
93 CAMPUS AVE, LEWISTON, ME 04240(207) 333-4677(207) 333-4679 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2024, Apr 23, 2024, Jan 4, 2024 and 2 more (5 updates tracked since 2017).

About Dr. Tison Thomas D.o. NPPES

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

DR. TISON THOMAS D.O. (NPI 1346694312) is an individual family medicine provider in Lewiston, Maine, licensed in Maine (DO3610) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).

NPPES Registry Identity

NPI1346694312
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TISON THOMASCredential: D.O.
Location Address93 CAMPUS AVELewiston, ME 04240-6030
Mailing Address15 Mollison WayLewiston, ME 04240-5805 · (207) 777-4440 · Fax (207) 777-8197
Phone(207) 333-4677
Fax(207) 333-4679
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2016
Enumeration DateApril 15, 2016
Last NPPES UpdateSeptember 26, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1346694312 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 ME · DO3610
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 ListedHospitalistTaxonomy 208M00000X · License DO3610 (ME)
93 CAMPUS AVE, Lewiston, ME 04240
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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. Tison Thomas D.o. 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 ID7315309994
PECOS Enrollment IDI20230814002827
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 7

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
76 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
48 services45 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.
42 services27 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.
31 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services23 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

ASHLEY BEAULIEU
Psychiatry & Neurology (Psychiatry)
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 440-5902
WILLIAM D COLLINS
Emergency Medicine
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 777-8120
CORA LEE GAVETT PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 777-8100
KENDRA ANNE GREENE MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 755-3067
KRISTIN M MILBERGER CRNA
Nurse Anesthetist, Certified Registered
93 CAMPUS AVE, ST MARY'S ANESTHESIA ASSOCIATES
LEWISTON, ME 04240
Androscoggin County (207) 755-3715
UMESH C SARMA M.D.
Radiology (Diagnostic Radiology)
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 777-8482
JAMES N PLACE M.D.
Radiology (Diagnostic Radiology)
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 777-8482
ANDREA L ERLEY CRNA
Nurse Anesthetist, Certified Registered
93 CAMPUS AVE
LEWISTON, ME 04240
Androscoggin County (207) 777-8442

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 Tison Thomas's NPI number?

The NPI number for Tison Thomas is 1346694312. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Tison Thomas located?

Tison Thomas practices at 93 Campus Ave, Lewiston, ME 04240. The listed phone number is (207) 333-4677.

What is Tison Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tison Thomas enrolled in Medicare?

Yes. Tison 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.

What insurance does Tison Thomas accept?

Health plans from Harvard Pilgrim Health Care list Tison 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 Tison Thomas affiliated with any hospitals?

According to CMS data, Tison Thomas is affiliated with St Mary's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tison Thomas was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.