ASHBY THOMAS M.D.
NPI 1366767154
Internal Medicine - Gastroenterology in New Hyde Park, NY

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2001 MARCUS AVE, NEW HYDE PARK, NY 11042(516) 775-7770 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashby Thomas M.d. NPPES

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

ASHBY THOMAS M.D. (NPI 1366767154) is an individual gastroenterology provider in New Hyde Park, New York, licensed in New York (263731) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Js Weill Medical College, Cornell University (2010).

NPPES Registry Identity

NPI1366767154
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameASHBY THOMASCredential: M.D.
Location Address2001 MARCUS AVENew Hyde Park, NY 11042-2061
Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-0100
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2010
Enumeration DateApril 5, 2010
Last NPPES UpdateOctober 7, 2016
NPI 1366767154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 263731
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2001 MARCUS AVE, New Hyde Park, NY 11042

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

Ashby Thomas M.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 ID3577843622
PECOS Enrollment IDI20161206001999
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 16

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.
183 services156 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.
69 services69 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
51 services51 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
47 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.
47 services33 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.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
2001 MARCUS AVE, SUITE N204
NEW HYDE PARK, NY 11042
Dermatology (Procedural Dermatology)
2001 MARCUS AVE, SUITE N218
LAKE SUCCESS, NY 11042
Optometrist
2001 MARCUS AVE, SUITE 286 WEST
NEW HYDE PARK, NY 11042
Anesthesiology
2001 MARCUS AVE, STE N18
NEW HYDE PARK, NY 11042
Internal Medicine
2001 MARCUS AVE
NEW HYDE PARK, NY 11042
Surgery (Vascular Surgery)
2001 MARCUS AVE, SUITE S50
NEW HYDE PARK, NY 11042
Acupuncturist
2001 MARCUS AVE
NEW HYDE PARK, NY 11042
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2001 MARCUS AVE, STE 170 W NEW YORK SPECIALISTS LLP
LAKE SUCCESS, NY 11042

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 Ashby Thomas's NPI number?

The NPI number for Ashby Thomas is 1366767154. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Ashby Thomas located?

Ashby Thomas practices at 2001 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (516) 775-7770.

What is Ashby Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ashby Thomas enrolled in Medicare?

Yes. Ashby 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.

Is Ashby Thomas affiliated with any hospitals?

According to CMS data, Ashby Thomas is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Ashby Thomas was last updated on October 7, 2016. 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.