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THOMAS R CLOUSE MD
NPI 1508980343
Internal Medicine in Indianapolis, IN

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
2001 W 86TH ST, INDIANAPOLIS, IN 46260(317) 338-2345 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Thomas R Clouse Md NPPES

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

THOMAS R CLOUSE MD (NPI 1508980343) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01061455A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Indiana University School Of Medicine (2004).

NPPES Registry Identity

NPI1508980343
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS R CLOUSECredential: MD
Location Address2001 W 86TH STIndianapolis, IN 46260-1902
Mailing Address2001 W 86th StIndianapolis, IN 46260-1902
Phone(317) 338-2345
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2004
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1508980343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01061455A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2001 W 86TH ST, Indianapolis, IN 46260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 R Clouse 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 ID9638263189
PECOS Enrollment IDI20070914000577
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 3

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.

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.
145 services140 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.
46 services46 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Anderson

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150088
Location2015 Jackson StAnderson, IN 46016 · Madison County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150181
Location13861 Olio RoadFishers, IN 46037 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$4.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$67.37 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 20

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

AMBER SEAMAN
Physician Assistant
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2345
LILY SNYDER
Pharmacist
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 415-8111
JANE GUNSENHOUSER MD
Anesthesiology
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 567-2180
GREGORY BAUWENS MD
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 802-3140
DR. JENNIFER RAE BARKER M.D.
Emergency Medicine
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2121
ST. VINCENT
General Acute Care Hospital
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2281
ST. VINCENT HOSPITAL
Student in an Organized Health Care Education/Training Program
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-2281
BROOKE KATHERINE GREENE MD
Pediatrics
2001 W 86TH ST
INDIANAPOLIS, IN 46260
Marion County (317) 338-6815

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 Clouse's NPI number?

The NPI number for Thomas Clouse is 1508980343. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Thomas Clouse located?

Thomas Clouse practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-2345.

What is Thomas Clouse's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Clouse enrolled in Medicare?

Yes. Thomas Clouse 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 Clouse accept?

Health plans from CareSource list Thomas Clouse 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 Clouse affiliated with any hospitals?

According to CMS data, Thomas Clouse is affiliated with Ascension St Vincent Kokomo, Ascension St Vincent Hospital, Ascension St Vincent Anderson, Ascension St Vincent Carmel and Ascension St Vincent Fishers.

When was this NPI record last updated?

The NPPES record for Thomas Clouse was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.