ALLAN RAY THOMAS P.A.
NPI 1437445715
Physician Assistant in Newark, OH

Q: What is Allan Thomas's NPI number?

The NPI number for Allan Thomas is 1437445715. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Q: What is Allan Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Allan Thomas was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment

79.35/100

CMS Quality Rating

1320 W MAIN ST, NEWARK, OH 43055(220) 564-4151(220) 564-7153 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2018, Feb 20, 2017, Mar 24, 2016 (3 updates tracked since 2016).

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About Allan Ray Thomas P.a. NPPES

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

ALLAN RAY THOMAS P.A. (NPI 1437445715) is an individual physician assistant in Newark, Ohio, licensed in Ohio (50.004423) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1437445715

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameALLAN RAY THOMASCredential: P.A.

Location Address1320 W MAIN STNewark, OH 43055

Mailing Address1320 W Main StNewark, OH 43055 · (220) 564-4151 · Fax (220) 564-7153

Phone(220) 564-4151

Fax(220) 564-7153

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJune 24, 2011

Last NPPES UpdateMay 14, 20183 updates tracked since enumeration

✔ NPI 1437445715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.004423

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 1098226 (NC)

1320 W MAIN ST, Newark, OH 43055

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Other Identifiers 1

Medicaid0160639OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Allan Ray Thomas P.a. 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 ID7315245412

PECOS Enrollment IDI20160405002307

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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

168 services166 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

48 services48 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

39 services39 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

79.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.02

Promoting Interoperability

100

Improvement Activities

Cost

57.85

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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.

DR. MATTHEW CRAIG BROMLEY D.O.

Emergency Medicine