THERESA NICOLE THOMAS MD
NPI 1366838187
Family Medicine in Dover, NJ

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
18 W BLACKWELL ST, DOVER, NJ 07801(973) 328-3344 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Nicole Thomas Md NPPES

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

THERESA NICOLE THOMAS MD (NPI 1366838187) is an individual family medicine provider in Dover, New Jersey, licensed in New Jersey (25MA10292100) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1366838187
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHERESA NICOLE THOMASCredential: MD
Location Address18 W BLACKWELL STDover, NJ 07801-3841
Mailing Address18 W Blackwell StDover, NJ 07801-3841 · (973) 328-3344
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateJuly 26, 2019
NPI 1366838187 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 NJ · 25MA10292100
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.
18 W BLACKWELL ST, Dover, NJ 07801

Secondary Practice Location 1

Location 199 Beauvoir AveSummit, NJ 07901-3533 · Phone (908) 522-2000

Other Identifiers 1

Other25MA10292100NJ · License Number

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

Theresa Nicole Thomas 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 ID6709124944
PECOS Enrollment IDI20210316000096
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 5

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.
280 services149 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
111 services111 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
46 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07801 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims43 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims12 services$0.94 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
18 W BLACKWELL ST
DOVER, NJ 07801
Physician Assistant
18 W BLACKWELL ST
DOVER, NJ 07801
Social Worker
18 W BLACKWELL ST
DOVER, NJ 07801
Social Worker (Clinical)
18 W BLACKWELL ST
DOVER, NJ 07801
Nurse Practitioner (Family)
18 W BLACKWELL ST
DOVER, NJ 07801
Nurse Practitioner (Adult Health)
18 W BLACKWELL ST
DOVER, NJ 07801
Social Worker
18 W BLACKWELL ST
DOVER, NJ 07801
Nurse Practitioner (Family)
18 W BLACKWELL ST
DOVER, NJ 07801

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 Theresa Thomas's NPI number?

The NPI number for Theresa Thomas is 1366838187. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Theresa Thomas located?

Theresa Thomas practices at 18 W Blackwell St, Dover, NJ 07801. The listed phone number is (973) 328-3344.

What is Theresa Thomas's specialty?

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

Is Theresa Thomas enrolled in Medicare?

Yes. Theresa 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 Theresa Thomas affiliated with any hospitals?

According to CMS data, Theresa Thomas is affiliated with Morristown Medical Center, Overlook Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Thomas was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.