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THERESA M THOMAS D.O.
NPI 1407977200
Family Medicine in Clarkston, MI

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
5900 WALDON RD, CLARKSTON, MI 48346(248) 625-1058(248) 625-3670 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Theresa M Thomas D.o. NPPES

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

THERESA M THOMAS D.O. (NPI 1407977200) is an individual family medicine provider in Clarkston, Michigan, licensed in Michigan (5101016607) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1407977200
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHERESA M THOMASCredential: D.O.
Location Address5900 WALDON RDClarkston, MI 48346-4806
Mailing Address5900 Waldon RdClarkston, MI 48346-4806 · (248) 625-1058 · Fax (248) 625-3670
Phone(248) 625-1058
Fax(248) 625-3670
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2005
Enumeration DateApril 2, 2007
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1407977200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101016607
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.
5900 WALDON RD, Clarkston, MI 48346
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Theresa M Thomas D.o. 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 ID7810064227
PECOS Enrollment IDI20080927000096
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

2

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

Genesys Pho LLC
21 mi
Case Management
3495 S CENTER RD
Burton, MI 48519
  • Reassigned Medicare billing, Michigan enrollment
  • 66 clinicians in this Medicare group
NPI 1275820110 (810) 424-2201
Henry Ford Medical Group Genesys
21 mi
Family Medicine
3495 S CENTER RD
Burton, MI 48519
  • Reassigned Medicare billing, Michigan enrollment
  • 98 clinicians in this Medicare group
NPI 1598248718 (810) 424-2201

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 11

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
198 services94 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.
196 services95 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
120 services38 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.
91 services91 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
90 services90 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension Genesys Hospital

Acute Care Hospitals · Grand Blanc, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230197
LocationOne Genesys ParkwayGrand Blanc, MI 48439 · Genesee County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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
9 suppliers25 claims62 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$0.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers13 claims13 services$26.08 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 4

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

WALDON INTERNAL MEDICINE
Internal Medicine
5900 WALDON RD, STE C
CLARKSTON, MI 48346
Oakland County (248) 625-8730
DR. SHAWN K CONNER MD
Family Medicine
5900 WALDON RD
CLARKSTON, MI 48346
Oakland County (248) 625-7890
DR. DANIEL BIELAK D.O.
Family Medicine
5900 WALDON RD
CLARKSTON, MI 48346
Oakland County (248) 625-1058
DR. HSIAO BECHINSKI DO
Internal Medicine
5900 WALDON RD
CLARKSTON, MI 48346
Oakland County (248) 625-8730

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 1407977200. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Theresa Thomas located?

Theresa Thomas practices at 5900 Waldon Rd, Clarkston, MI 48346. The listed phone number is (248) 625-1058.

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.

Which organizations bill Medicare for Theresa Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Thomas reassigns Medicare benefits to 2 organizations: Genesys Pho LLC (Burton, MI) and Henry Ford Medical Group Genesys (Burton, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Thomas accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Theresa Thomas 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 Theresa Thomas affiliated with any hospitals?

According to CMS data, Theresa Thomas is affiliated with Trinity Health Oakland Hospital, Henry Ford Health Hospital, Ascension Genesys Hospital and Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Theresa Thomas was last updated on January 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.