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THOMAS W GILES MD
NPI 1366470767
Emergency Medicine in Toms River, NJ

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
99 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas W Giles Md NPPES

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

THOMAS W GILES MD (NPI 1366470767) is an individual emergency medicine provider in Toms River, New Jersey, licensed in New Jersey (25MB06887900) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1366470767
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS W GILESCredential: MD
Location Address99 ROUTE 37 WToms River, NJ 08755-6423
Mailing AddressPo Box 155Cheswick, PA 15024-0155 · (412) 826-1065 · Fax (412) 826-1491
Phone(732) 557-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 11, 2007
✔ NPI 1366470767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · 25MB06887900
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.
99 ROUTE 37 W, Toms River, NJ 08755
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Other Identifiers 3

Medicare UPINH09230
Medicaid8106401NJ
Medicare ID-Type Unspecified034835NJ

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

Thomas W Giles 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 ID2163696493
PECOS Enrollment IDI20111122000392
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.

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.
432 services416 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.
298 services287 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.
283 services279 patients
Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
85 services16 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
79 services79 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
53 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

COMMUNITY MEDICAL CENTER INC
General Acute Care Hospital
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SARAH B SCHWARTZ APN
Nurse Practitioner (Family)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8283
JC SURGICAL FIRST ASSIST, LLC
Registered Nurse (Registered Nurse First Assistant)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 552-9856
DR. ROMIL NIRAJKUMAR PATEL MD
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
SOPHIA HAN MD
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-2604
DONNA JEAN GRANDO PHARMD
Pharmacist
99 ROUTE 37 W, CMC PHARMACY DEPT.
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
MICHAEL J LAVECCHIA MD
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000
DR. PAUL MARK JENNINGS DO
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Ocean County (732) 557-8000

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 Giles's NPI number?

The NPI number for Thomas Giles is 1366470767. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Thomas Giles located?

Thomas Giles practices at 99 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Thomas Giles's specialty?

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

Is Thomas Giles enrolled in Medicare?

Yes. Thomas Giles 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 Giles affiliated with any hospitals?

According to CMS data, Thomas Giles is affiliated with Community Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Thomas Giles was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.