THOMAS METKUS MD
NPI 1417140096
Internal Medicine - Cardiovascular Disease in Baltimore, MD
About Thomas Metkus Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS METKUS MD (NPI 1417140096) is an individual cardiovascular disease provider in Baltimore, Maryland, licensed in Maryland (D81159) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thomas Metkus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Thomas Metkus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland enrollment
- 4,483 clinicians in this Medicare group
Baltimore, MD 21287
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1801891080 (District of Columbia), NPI 1902332133 (Maryland)
- 38 clinicians in this Medicare group
Baltimore, MD 21204
- Reassigned Medicare billing, Maryland enrollment
- 444 clinicians in this Medicare group
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 14
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDSinai Hospital Of Baltimore
Acute Care Hospitals · Baltimore, MDJohns Hopkins Bayview Medical Center
Acute Care Hospitals · Baltimore, MDGreater Baltimore Medical Center
Acute Care Hospitals · Baltimore, MDJohns Hopkins Howard County Medical Center
Acute Care Hospitals · Columbia, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21287 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BALTIMORE, MD 21287
BALTIMORE, MD 21287
BALTIMORE, MD 21287
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 Metkus's NPI number?
The NPI number for Thomas Metkus is 1417140096. It was assigned to this individual provider in the NPPES registry on August 27, 2007.
Where is Thomas Metkus located?
Thomas Metkus practices at 1830 E Monument St, Baltimore, MD 21287. The listed phone number is (410) 614-2751.
What is Thomas Metkus's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Thomas Metkus enrolled in Medicare?
Yes. Thomas Metkus is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Thomas Metkus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Metkus reassigns Medicare benefits to 3 organizations: Johns Hopkins University (Baltimore, MD), Johns Hopkins University (Baltimore, MD) and Greater Baltimore Medical Center, Inc. (Baltimore, MD). 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 Metkus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Metkus accept?
Health plans from Taro Health list Thomas Metkus 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 Metkus affiliated with any hospitals?
According to CMS data, Thomas Metkus is affiliated with Johns Hopkins Hospital, The, Sinai Hospital Of Baltimore, Johns Hopkins Bayview Medical Center, Greater Baltimore Medical Center and Johns Hopkins Howard County Medical Center.
When was this NPI record last updated?
The NPPES record for Thomas Metkus was last updated on March 31, 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.
# Thomas Metkus, MD · NPI 1417140096
Cardiovascular Disease physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since August 27, 2007.
## Identity
- **NPI:** 1417140096 (Entity type: Individual)
- **Enumerated:** August 27, 2007
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** D81159 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1830 E MONUMENT ST, Baltimore, MD 21287-0020
- **Phone:** (410) 614-2751 · **Fax:** (410) 800-4073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Johns Hopkins University (NPI 1023018413, Baltimore, MD); Johns Hopkins University (NPI 1487118048, Baltimore, MD); Greater Baltimore Medical Center, Inc. (NPI 1013739382, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417140096) · Data from the CMS NPPES public registry.