1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Emergency Medicine
  6. NPI Profile

DR. TOBY THOMAS MD
NPI 1457409393
Emergency Medicine in Houston, TX

Active since January 08, 2007PECOS Enrolled
82.38/100
CMS Quality Rating
6411 FANNIN ST, HOUSTON, TX 77030(713) 500-7878 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 20, 2024, May 5, 2020 (2 updates tracked since 2020).

About Dr. Toby Thomas Md NPPES

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

DR. TOBY THOMAS MD (NPI 1457409393) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (M8384) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457409393
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. TOBY THOMASCredential: MD
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing AddressPo Box 201088Houston, TX 77216-1088
Phone(713) 500-7878
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1457409393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · M8384
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.
6411 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 2

Other8BC551TX · Bcbs
Medicaid193202202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Toby Thomas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.
31 services31 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

HASHIM ZAIDI M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7878
DAVID BALTRUSAITIS MD
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 797-5929
CYNTHIA MARSHA DANIS RN
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
MR. MICHAEL KENNETH HOWZE JR.
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7160
STEPHEN M LARSON D.M.D.
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
STEPHEN G HECHT M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4060
VLADIMIR MELNIKOV M.D.
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
MRS. CAROL JEAN UNDERWOOD BSN RN CCRC
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4230

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 Toby Thomas's NPI number?

The NPI number for Toby Thomas is 1457409393. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Toby Thomas located?

Toby Thomas practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-7878.

What is Toby Thomas's specialty?

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

Is Toby Thomas enrolled in Medicare?

Yes. Toby Thomas is registered in the Medicare PECOS enrollment system.

What insurance does Toby Thomas accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Toby 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.

When was this NPI record last updated?

The NPPES record for Toby Thomas was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.