THOMAS D CERVONI M.D.
NPI 1407946403
Orthopaedic Surgery in Richmond, KY

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
789 EASTERN BYP, SUITE 5, RICHMOND, KY 40475(859) 624-4110(859) 624-1968 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Dec 2, 2020 (2 updates tracked since 2020).

About Thomas D Cervoni M.d. NPPES

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

THOMAS D CERVONI M.D. (NPI 1407946403) is an individual orthopaedic surgery provider in Richmond, Kentucky, licensed in Kentucky (34845) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1407946403
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS D CERVONICredential: M.D.
Location Address789 EASTERN BYP, SUITE 5Richmond, KY 40475-2415
Mailing Address789 Eastern Byp, Suite 5Richmond, KY 40475-2415 · (859) 624-4110 · Fax (859) 624-1968
Fax(859) 624-1968
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateOctober 13, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 2, 2020
NPI 1407946403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in KY · 34845
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 34845 (KY)
789 EASTERN BYP, Richmond, KY 40475

Other Identifiers 6

Other200312945KY · Federal Tax Id
Medicaid64035546KY
Other5623185Aetna Provider Id
OtherP00111547KY · Travelers Medicare Number
Other000000311405KY · Anthem Bluecross & Bluesh
Other5245840001KY · Dmepos Administar

Accepted Insurance

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 D Cervoni 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 ID8820994585
PECOS Enrollment IDI20031211000946
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 4

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
38 services16 patients
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.
28 services22 patients
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.
25 services20 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
24 services20 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40475 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$98.93 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.

Internal Medicine (Hematology & Oncology)
789 EASTERN BYP, STE 25
RICHMOND, KY 40475
Psychiatry & Neurology (Neurology)
789 EASTERN BYP, SUITE 25
RICHMOND, KY 40475
Clinic/Center (Physical Therapy)
789 EASTERN BYP, SUITE 4
RICHMOND, KY 40475
General Acute Care Hospital
789 EASTERN BYP, SUITE 25
RICHMOND, KY 40475
Internal Medicine (Pulmonary Disease)
789 EASTERN BYP, SUITE 17
RICHMOND, KY 40475
Physical Therapist
789 EASTERN BYP, #5
RICHMOND, KY 40475
Family Medicine
789 EASTERN BYP, STE 11
RICHMOND, KY 40475
Internal Medicine (Geriatric Medicine)
789 EASTERN BYP, SUITE 11
RICHMOND, KY 40475

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 Cervoni's NPI number?

The NPI number for Thomas Cervoni is 1407946403. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Thomas Cervoni located?

Thomas Cervoni practices at 789 Eastern Byp Suite 5, Richmond, KY 40475. The listed phone number is (859) 624-4110.

What is Thomas Cervoni's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Cervoni enrolled in Medicare?

Yes. Thomas Cervoni 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.

What insurance does Thomas Cervoni accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Thomas Cervoni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Cervoni affiliated with any hospitals?

According to CMS data, Thomas Cervoni is affiliated with Baptist Health Richmond.

When was this NPI record last updated?

The NPPES record for Thomas Cervoni was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.