TSIMMENG JUSTIN THAO DO
NPI 1487015616
Internal Medicine - Hospice and Palliative Medicine in Shelby, NC

Active since March 16, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
201 E GROVER ST, SHELBY, NC 28150(704) 512-5124 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 15 more (18 updates tracked since 2016).

About Tsimmeng Justin Thao Do NPPES

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

TSIMMENG JUSTIN THAO DO (NPI 1487015616) is an individual hospice and palliative medicine provider in Shelby, North Carolina, licensed in North Carolina (2019-02393) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487015616
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameTSIMMENG JUSTIN THAOCredential: DO
Location Address201 E GROVER STShelby, NC 28150-3917
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 16, 2016
Last NPPES UpdateJuly 15, 202418 updates tracked since enumeration
NPI 1487015616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License Licensed in NC · 2019-02393
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019-02393 (NC)
201 E GROVER ST, Shelby, NC 28150

Secondary Practice Locations 4

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 351-9422
Location 2301 Yadkin StAlbemarle, NC 28001-3441 · Phone (704) 984-4365
Location 31000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 351-3791
Location 42001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 607-3249

Accepted 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

Tsimmeng Justin Thao Do 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 ID4082966809
PECOS Enrollment IDI20200210002145
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 6

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
207 services160 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services93 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
87 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
83 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services28 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
24 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant (Medical)
201 E GROVER ST
SHELBY, NC 28150
Registered Nurse (Diabetes Educator)
201 E GROVER ST
SHELBY, NC 28150
Nurse Anesthetist, Certified Registered
201 E GROVER ST
SHELBY, NC 28150
Internal Medicine
201 E GROVER ST
SHELBY, NC 28150
Physician Assistant
201 E GROVER ST
SHELBY, NC 28150
General Acute Care Hospital
201 E GROVER ST
SHELBY, NC 28150
Anesthesiology
201 E GROVER ST
SHELBY, NC 28150
Psychiatry & Neurology (Psychiatry)
201 E GROVER ST
SHELBY, NC 28150

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 Tsimmeng Thao's NPI number?

The NPI number for Tsimmeng Thao is 1487015616. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Where is Tsimmeng Thao located?

Tsimmeng Thao practices at 201 E Grover St, Shelby, NC 28150. The listed phone number is (704) 512-5124.

What is Tsimmeng Thao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Tsimmeng Thao enrolled in Medicare?

Yes. Tsimmeng Thao 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.

What insurance does Tsimmeng Thao accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Tsimmeng Thao 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 Tsimmeng Thao affiliated with any hospitals?

According to CMS data, Tsimmeng Thao is affiliated with Atrium Health Cleveland and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Tsimmeng Thao was last updated on July 15, 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.