DR. TOBY THOMAS MD
NPI 1457409393
Emergency Medicine in Houston, TX
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
Specialties & Licenses
Other Identifiers 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)
Dr. Toby Thomas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Toby Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 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 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.
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.
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.
HOUSTON, TX 77030
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.
Which organizations bill Medicare for Toby Thomas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toby Thomas reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). 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 Toby Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toby Thomas accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers 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 2 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.
# Dr. Toby Thomas, MD · NPI 1457409393
Emergency Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1457409393 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** M8384 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 6411 FANNIN ST, Houston, TX 77030-1501
- **Phone:** (713) 500-7878
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Ut Physicians (NPI 1033157821, Houston, TX); Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2024
- **Other identifiers:** Other 8BC551 (TX); Medicaid 193202202 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1457409393) · Data from the CMS NPPES public registry.