DR. THOMAS MICHAEL HULSEN M.D.
NPI 1417060542
Obstetrics & Gynecology in Maryville, IL

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
6810 STATE ROUTE 162, SUITE 301, MARYVILLE, IL 62062(618) 288-5699 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thomas Michael Hulsen M.d. NPPES

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

DR. THOMAS MICHAEL HULSEN M.D. (NPI 1417060542) is an individual obstetrics & gynecology provider in Maryville, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1999).

NPPES Registry Identity

NPI1417060542
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. THOMAS MICHAEL HULSENCredential: M.D.
Location Address6810 STATE ROUTE 162, SUITE 301Maryville, IL 62062-8501
Mailing Address6810 State Route 162, Suite 301Maryville, IL 62062-8501 · (618) 288-5699
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1999
Enumeration DateAugust 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1417060542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6810 STATE ROUTE 162, Maryville, IL 62062

Other Identifiers 3

Medicaid0361097571IL
Medicare UPINH96815IL
Medicare ID-Type UnspecifiedK01712

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

Dr. Thomas Michael Hulsen 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 ID5597663864
PECOS Enrollment IDI20031223000468
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
49 services43 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
29 services29 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
29 services29 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
22 services22 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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.

Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Anesthesiology
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062

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 Hulsen's NPI number?

The NPI number for Thomas Hulsen is 1417060542. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Thomas Hulsen located?

Thomas Hulsen practices at 6810 State Route 162 Suite 301, Maryville, IL 62062. The listed phone number is (618) 288-5699.

What is Thomas Hulsen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Hulsen enrolled in Medicare?

Yes. Thomas Hulsen 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 Hulsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Thomas Hulsen 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 Hulsen affiliated with any hospitals?

According to CMS data, Thomas Hulsen is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Hulsen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.