DEREK THOMAS M.D.
NPI 1508187683
Internal Medicine - Hematology & Oncology in Findlay, OH

Q: What is Derek Thomas's NPI number?

The NPI number for Derek Thomas is 1508187683. It was assigned to this individual provider in the NPPES registry on June 12, 2010.

Q: What is Derek Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Derek Thomas was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 12, 2010PECOS EnrolledAccepts Medicare Assignment

64.04/100

CMS Quality Rating

15990 MEDICAL DR S, FINDLAY, OH 45840(419) 423-5522 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2017, Jul 3, 2017 (2 updates tracked since 2017).

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About Derek Thomas M.d. NPPES

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

DEREK THOMAS M.D. (NPI 1508187683) is an individual hematology & oncology provider in Findlay, Ohio, licensed in Ohio (129761) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Tiffin Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2010).

NPPES Registry Identity

NPI1508187683

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDEREK THOMASCredential: M.D.

Location Address15990 MEDICAL DR SFindlay, OH 45840-8894

Mailing Address15990 Medical Dr SFindlay, OH 45840 · (419) 423-5522

Phone(419) 423-5522

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2010

Enumeration DateJune 12, 2010

Last NPPES UpdateAugust 3, 20172 updates tracked since enumeration

✔ NPI 1508187683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in OH · 129761

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

15990 MEDICAL DR S, Findlay, OH 45840

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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

Derek Thomas M.d. 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 ID4284860586

PECOS Enrollment IDI20170816003000

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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

492 services168 patients

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.

322 services187 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.

57 services24 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.

32 services20 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.

30 services30 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

19 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360089

Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County

Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361322

Location139 Garau StreetBluffton, OH 45817 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

64.04/100

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

Scored as part of a group practice

Quality

57.06

Improvement Activities

Cost

58.87

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 150 mg J8520

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims736 services$0.34 avg. paid by Medicare

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers28 claims2,028 services$0.72 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers18 claims18 services$18.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers23 claims23 services$12.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

BLANCHARD VALLEY REGIONAL CANCER CENTER LLC

Radiology (Radiation Oncology)