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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: November 01, 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
Phone(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
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Other Identifiers 3

Medicaid0361097571IL
Medicare UPINH96815IL
Medicare ID-Type UnspecifiedK01712

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield 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

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.

Medicare Billing Reassignments

2

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

Anderson Medical Group, LLC
Same address
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
NPI 1700807716 (618) 288-5711
James J. Dalla Riva, MD, PC
Same address
Specialist
6810 STATE ROUTE 162, SUITE 301
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 2 clinicians in this Medicare group
NPI 1518143254 (618) 288-5699

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 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.

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.
40 services39 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.
34 services34 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.
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.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

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.

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Surgery (Vascular Surgery)
6810 STATE ROUTE 162, SUITE 100
MARYVILLE, IL 62062
Madison County (618) 334-2425
DR. GABRIEL CARDENAS JR. D.P.M.
Podiatrist (Foot & Ankle Surgery)
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Madison County (618) 288-2835
MICHAEL PETRU CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MICHAEL SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MARK FEDDER, MD, PC
Internal Medicine (Gastroenterology)
6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062
Madison County (618) 288-0346
JOSEPH HINES CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JAMES JOSEPH DALLA RIVA M.D.
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062
Madison County (618) 288-5699
MARK SILVEY CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711

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.

Which organizations bill Medicare for Thomas Hulsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Hulsen reassigns Medicare benefits to 2 organizations: Anderson Medical Group, LLC (Maryville, IL) and James J. Dalla Riva, MD, PC (Maryville, IL). 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 Thomas Hulsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Hulsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare 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 and Community Hospital Of Staunton.

When was this NPI record last updated?

The NPPES record for Thomas Hulsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.