THOMAS ALEXANDER LALONDE MD
NPI 1497704191
Internal Medicine - Cardiovascular Disease in St Clair Shores, MI

Q: What is Thomas Lalonde's NPI number?

The NPI number for Thomas Lalonde is 1497704191. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Q: What is Thomas Lalonde's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Lalonde was last updated on December 1, 2020. 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.

Active since May 09, 2006PECOS EnrolledAccepts Medicare Assignment

84.05/100

CMS Quality Rating

24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080(586) 498-0440(586) 498-0401 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas Alexander Lalonde Md NPPES

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

THOMAS ALEXANDER LALONDE MD (NPI 1497704191) is an individual cardiovascular disease provider in St Clair Shores, Michigan, licensed in Michigan (4301047714) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1497704191

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameTHOMAS ALEXANDER LALONDECredential: MD

Location Address24211 LITTLE MACK AVESt Clair Shores, MI 48080-1190

Mailing Address24211 Little Mack AveSt Clair Shores, MI 48080-1190 · (586) 498-0440 · Fax (586) 498-0401

Phone(586) 498-0440

Fax(586) 498-0401

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1983

Enumeration DateMay 9, 2006

Last NPPES UpdateDecember 1, 2020

NPPES CertifiedDecember 1, 2020

✔ NPI 1497704191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MI · 4301047714

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

24211 LITTLE MACK AVE, St Clair Shores, MI 48080

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Other Identifiers 2

Medicaid3384987MI

Other10MI · 10

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Thomas Alexander Lalonde Md 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 ID6002704509

PECOS Enrollment IDI20080909000513

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 14

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

912 services537 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.

397 services168 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

341 services310 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

261 services21 patients

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.

122 services89 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.

65 services57 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

56 services38 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

24 services20 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

21 services13 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

16 services16 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

14 services14 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.

14 services12 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring 93270

An Electrocardiogram (ECG) is a test that monitors your heart's electrical activity for up to 30 days. It helps identify irregular heartbeats or rhythms. You'll wear a small device that records your heart activity, especially when symptoms like chest pain or palpitations occur.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230047

Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County

Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230089

Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230130

Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County

Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230269

Location44201 Dequindre RoadTroy, MI 48085 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

84.05/100

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

Scored as part of a group practice

Quality

74.13

Promoting Interoperability

100

Improvement Activities

Cost

63.31

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAID KASMIKHA D.O.

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

DR. GEORGE B GHANEM MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

THOMAS PATRICK DAVIS MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

DR. DAVID JOSE RODRIGUEZ M.D.

Internal Medicine (Interventional Cardiology)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

MARC OLIVER GOSSELIN DO

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

RUDY J VERVAEKE MD PLC

Internal Medicine (Addiction Medicine)

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 775-7400

DR. DOMENIC G GROSSO D.O.

Student in an Organized Health Care Education/Training Program

24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

GEORGES B GHAFARI MD

Internal Medicine (Cardiovascular Disease)

24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080

Macomb County (586) 498-0440

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 Thomas Lalonde's NPI number?

The NPI number for Thomas Lalonde is 1497704191. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Thomas Lalonde located?

Thomas Lalonde practices at 24211 Little Mack Ave, St Clair Shores, MI 48080. The listed phone number is (586) 498-0440.

What is Thomas Lalonde's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Lalonde enrolled in Medicare?

Yes. Thomas Lalonde 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 Thomas Lalonde accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Thomas Lalonde 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 Thomas Lalonde affiliated with any hospitals?

According to CMS data, Thomas Lalonde is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak, Ascension St John Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Thomas Lalonde was last updated on December 1, 2020. 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.