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DR. PAUL DAVID THOMAS M.D.
NPI 1427104272
Emergency Medicine in Louisville, KY

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
11711 ENGLISH MEADOW DRIVE, LOUISVILLE, KY 40229(502) 718-1417 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2021, Oct 9, 2019 (2 updates tracked since 2019).

About Dr. Paul David Thomas M.d. NPPES

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

DR. PAUL DAVID THOMAS M.D. (NPI 1427104272) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (31260) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Taylor Regional Hospital, and is a graduate of University Of Louisville School Of Medicine (1994).

NPPES Registry Identity

NPI1427104272
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL DAVID THOMASCredential: M.D.
Location Address11711 ENGLISH MEADOW DRIVELouisville, KY 40229-6508
Mailing Address11711 English Meadow DriveLouisville, KY 40229 · (502) 718-1417
Phone(502) 718-1417
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1994
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1427104272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in KY · 31260
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 31260 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 31260 (KY)
11711 ENGLISH MEADOW DRIVE, Louisville, KY 40229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Paul David Thomas 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 ID2769438282
PECOS Enrollment IDI20050329000136
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

5

Medicare enrollment records show Paul Thomas reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Medical Group Of Kentucky PLLC
51 mi
Emergency Medicine
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Kentucky enrollment
  • 182 clinicians in this Medicare group
NPI 1346746385 (270) 756-7000
Concord Company Of Tennessee PLLC
57 mi
Emergency Medicine
910 WALLACE AVE
Leitchfield, KY 42754
  • Reassigned Medicare billing, Kentucky enrollment
  • 107 clinicians in this Medicare group
NPI 1649743667 (270) 256-9400
Southeastern Emergency Physicians LLC
105 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
Western Healthcare Services Kentucky LLC
127 mi
Emergency Medicine
540 JETT DR
Jackson, KY 41339
  • Reassigned Medicare billing, Kentucky enrollment
  • 32 clinicians in this Medicare group
NPI 1770243842 (606) 666-6000
Southeastern Physician Services PC
161 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Kentucky enrollment
  • 358 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
180 services174 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
92 services89 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
83 services77 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40229 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 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 supplier14 claims14 services$19.86 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 supplier14 claims14 services$111.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Paul Thomas's NPI number?

The NPI number for Paul Thomas is 1427104272. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Paul Thomas located?

Paul Thomas practices at 11711 English Meadow Drive, Louisville, KY 40229. The listed phone number is (502) 718-1417.

What is Paul Thomas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Thomas enrolled in Medicare?

Yes. Paul 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 Paul Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Thomas reassigns Medicare benefits to 5 organizations: Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY), Concord Company Of Tennessee PLLC (Leitchfield, KY), Southeastern Emergency Physicians LLC (Maysville, KY), Western Healthcare Services Kentucky LLC (Jackson, KY) and Southeastern Physician Services PC (Oak Ridge, TN). 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 Paul Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Thomas accept?

Health plans from CareSource list Paul 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 Paul Thomas affiliated with any hospitals?

According to CMS data, Paul Thomas is affiliated with Taylor Regional Hospital.

When was this NPI record last updated?

The NPPES record for Paul Thomas was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.