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THOMAS PICKETT
NPI 1407494818
Physician Assistant in Clearlake, CA

Active since December 16, 2019PECOS Enrolled
78.28/100
CMS Quality Rating
14440 OLYMPIC DR, CLEARLAKE, CA 95422(707) 533-8760(707) 461-5103 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2020, Dec 16, 2019 (2 updates tracked since 2019).

About Thomas Pickett NPPES

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

THOMAS PICKETT (NPI 1407494818) is an individual physician assistant in Clearlake, California and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407494818
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS PICKETT
Location Address14440 OLYMPIC DRClearlake, CA 95422-8809
Mailing Address2244 Old Stagecoach TrlAlpine, CA 91901-1470 · (619) 246-6206
Phone(707) 533-8760
Fax(707) 461-5103
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 16, 2019
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1407494818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14440 OLYMPIC DR, Clearlake, CA 95422
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Secondary Practice Locations 2

Location 1925 Bevins CtLakeport, CA 95453-9754 · Phone (707) 263-8382 · Fax (707) 263-1909
Location 215230 Lakeshore DrClearlake, CA 95422-8107 · Phone (707) 995-4500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Pickett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880010727
PECOS Enrollment IDI20200826002127
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95422 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

78.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.31
Promoting Interoperability93
Improvement Activities40
Cost45.47

Referred Medical Equipment & Supplies CMS DME claims 12

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
4 suppliers52 claims87 services$6.43 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims20 services$1.13 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims824 services$0.32 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier22 claims22 services$56.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$21.26 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers31 claims31 services$7.05 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

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

GALE LANETTE DUNHAM PHARM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
14440 OLYMPIC DR
CLEARLAKE, CA 95422
Lake County (707) 533-2128

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 Pickett's NPI number?

The NPI number for Thomas Pickett is 1407494818. It was assigned to this individual provider in the NPPES registry on December 16, 2019.

Where is Thomas Pickett located?

Thomas Pickett practices at 14440 Olympic Dr, Clearlake, CA 95422. The listed phone number is (707) 533-8760.

What is Thomas Pickett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Pickett enrolled in Medicare?

Yes. Thomas Pickett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Pickett was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.