THOMAS E ALBANI JR. M.D.
NPI 1407814452
Family Medicine in Boardman, OH

Q: What is Thomas Albani's NPI number?

The NPI number for Thomas Albani is 1407814452. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Thomas Albani's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Albani was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

8423 MARKET ST STE 101, BOARDMAN, OH 44512(330) 729-8700(330) 729-8701 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Thomas E Albani Jr. M.d. NPPES

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

THOMAS E ALBANI JR. M.D. (NPI 1407814452) is an individual family medicine provider in Boardman, Ohio, licensed in Ohio (35.047546) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (1981).

NPPES Registry Identity

NPI1407814452

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS E ALBANI JR.Credential: M.D.

Location Address8423 MARKET ST STE 101Boardman, OH 44512-6778

Mailing Address8423 Market St Ste 101Boardman, OH 44512-6778 · (330) 729-8700 · Fax (330) 729-8701

Phone(330) 729-8700

Fax(330) 729-8701

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1981

Enumeration DateMay 1, 2006

Last NPPES UpdateOctober 17, 2023

NPPES CertifiedOctober 17, 2023

✔ NPI 1407814452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.047546

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.

8423 MARKET ST STE 101, Boardman, OH 44512

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Other Identifiers 1

Medicaid0537468OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas E Albani Jr. 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 ID8224212741

PECOS Enrollment IDI20110407000498

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Albani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Triad Health Services, LLC

1.4 mi

Plastic Surgery

100 DEBARTOLO PL STE 200
Youngstown, OH 44512

Reassigned Medicare billing, Ohio enrollment
317 clinicians in this Medicare group

NPI 1588925457 (330) 965-4540

Mercy Health Physicians Youngstown, LLC

8.2 mi

Family Medicine

1044 BELMONT AVE
Youngstown, OH 44504

Reassigned Medicare billing, Ohio enrollment
374 clinicians in this Medicare group

NPI 1154636066 (330) 746-7211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

100%232 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ZACHARY JAMES STURMI DO

Student in an Organized Health Care Education/Training Program