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DR. TOJO THOMAS MD
NPI 1497937379
Internal Medicine - Gastroenterology in Houston, TX

Active since December 03, 2007PECOS EnrolledAccepts Medicare Assignment
76.24/100
CMS Quality Rating
12121 RICHMOND AVE, SUITE 424, HOUSTON, TX 77082(832) 379-8603(832) 379-1928 Get Directions Write a Review

NPPES record last updated: July 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tojo Thomas Md NPPES

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

DR. TOJO THOMAS MD (NPI 1497937379) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (N0503) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare West, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2005).

NPPES Registry Identity

NPI1497937379
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. TOJO THOMASCredential: MD
Location Address12121 RICHMOND AVE, SUITE 424Houston, TX 77082-2432
Mailing Address12121 Richmond Ave, Suite 424Houston, TX 77082-2432 · (832) 379-8603
Phone(832) 379-8603
Fax(832) 379-1928
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2005
Enumeration DateDecember 3, 2007
Last NPPES UpdateJuly 5, 2011
✔ NPI 1497937379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · N0503
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License N0503 (TX)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License N0503 (TX)
12121 RICHMOND AVE, Houston, TX 77082
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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 and accepts Medicare assignment

Dr. Tojo Thomas 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 ID2264601517
PECOS Enrollment IDI20110803000459
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
189 services55 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.
126 services101 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
62 services24 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
60 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare West

Acute Care Hospitals · Houston, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450644
Location12141 Richmond AveHouston, TX 77082 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77082 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

76.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.86
Promoting Interoperability84
Improvement Activities40
Cost63.27

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
79%1,361 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%2,451 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
79%1,118 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%375 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
79%1,518 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%1,201 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 647 patients
Patients tobacco: 7% · 29 patients
88%393 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
52%393 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%1,518 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%1,518 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
15%1,518 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

STEPHEN E. GUILLIAMS, MD PA
Obstetrics & Gynecology
12121 RICHMOND AVE, SUITE 203
HOUSTON, TX 77082
Harris County (281) 558-5855
COASTAL-KIDNEY TREATMENT CENTERS PLLC
Internal Medicine (Nephrology)
12121 RICHMOND AVE, #214
HOUSTON, TX 77082
Harris County (281) 558-6555
DR. EDWARD H SAUER D.D.S.
Dentist (General Practice)
12121 RICHMOND AVE, SUITE 314
HOUSTON, TX 77082
Harris County (281) 870-9000
AMY TERMINA CSA
Specialist/Technologist, Other (Surgical Assistant)
12121 RICHMOND AVE, SUITE 201
HOUSTON, TX 77082
Harris County (832) 797-8405
TAWAKKOL SURGICAL, LLC
Clinic/Center (Ambulatory Surgical)
12121 RICHMOND AVE, SUITE 408
HOUSTON, TX 77082
Harris County (281) 293-8307
WEST HOUSTON MEDICAL CENTER
General Acute Care Hospital
12121 RICHMOND AVE, SUITE # 417
HOUSTON, TX 77082
Harris County (713) 582-8968
CUO PA
Internal Medicine
12121 RICHMOND AVE, SUITE 420
HOUSTON, TX 77082
Harris County (281) 496-5900
MISS DEBORAH LYNN BORGMAN R.N.FNP
Nurse Practitioner (Primary Care)
12121 RICHMOND AVE, SUITE 409
HOUSTON, TX 77082
Harris County (281) 493-4922

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 Tojo Thomas's NPI number?

The NPI number for Tojo Thomas is 1497937379. It was assigned to this individual provider in the NPPES registry on December 3, 2007.

Where is Tojo Thomas located?

Tojo Thomas practices at 12121 Richmond Ave Suite 424, Houston, TX 77082. The listed phone number is (832) 379-8603.

What is Tojo Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Tojo Thomas enrolled in Medicare?

Yes. Tojo Thomas 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 Tojo Thomas accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Tojo 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.

Is Tojo Thomas affiliated with any hospitals?

According to CMS data, Tojo Thomas is affiliated with Hca Houston Healthcare West, Houston Methodist Sugarland Hospital and St Luke's Sugar Land Hospital.

When was this NPI record last updated?

The NPPES record for Tojo Thomas was last updated on July 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.