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BRIAN R THOMAS
NPI 1518101443
Otolaryngology in Great Falls, MT

Active since April 22, 2009PECOS EnrolledAccepts Medicare Assignment
3000 15TH AVE S, GREAT FALLS, MT 59405(406) 454-2171 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian R Thomas NPPES

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

BRIAN R THOMAS (NPI 1518101443) is an individual otolaryngology provider in Great Falls, Montana, licensed in Montana (30348) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1518101443
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameBRIAN R THOMAS
Location Address3000 15TH AVE SGreat Falls, MT 59405-5240
Mailing Address3000 15th Ave SGreat Falls, MT 59405-5240 · (406) 454-2171
Phone(406) 454-2171
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 22, 2009
Last NPPES UpdateAugust 18, 2014
✔ NPI 1518101443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MT · 30348
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3000 15TH AVE S, Great Falls, MT 59405
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Other Identifiers 1

Medicare PINM011004588MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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

Brian R Thomas 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 ID345465704
PECOS Enrollment IDI20190904002422
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.

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.
15 services13 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
14 services11 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Bingham Memorial Hospital

Critical Access Hospitals · Blackfoot, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131325
Location98 Poplar StreetBlackfoot, ID 83221 · Bingham County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59405 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
49%197 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
42%371 patients2/55-star benchmark: 85%
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.
100%1,446 patients5/55-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.
95%1,152 patients4/55-star benchmark: 99%
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.
99%701 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.
67%1,271 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
50%339 patients3/55-star benchmark: 90%
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: 100% · 304 patients
Patients tobacco: 23% · 26 patients
89%304 patients4/55-star benchmark: 98%
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…
95%1,271 patients4/55-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…
13%1,271 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.
25%1,271 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.

JOHN H AVERY MD
Orthopaedic Surgery
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
NICHOLAS D BONFILIO MD
Orthopaedic Surgery
3000 15TH AVE S, GREAT FALLS CLINIC
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
SCOTT WILLIAM LUCAS MD
Surgery (Pediatric Surgery)
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
WILLIAM V HUVAL MD
Surgery
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
MARIA K GEE P.T.
Physical Therapist
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-7363
DR. DANIEL GEE HODSON DPM
Podiatrist (Foot & Ankle Surgery)
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
RUSLAN A SOLDYSHEV M.D.
Internal Medicine (Nephrology)
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-2171
MICHAEL PATRICK BRYANT DO
Orthopaedic Surgery
3000 15TH AVE S
GREAT FALLS, MT 59405
Cascade County (406) 454-2171

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 Brian Thomas's NPI number?

The NPI number for Brian Thomas is 1518101443. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Brian Thomas located?

Brian Thomas practices at 3000 15th Ave S, Great Falls, MT 59405. The listed phone number is (406) 454-2171.

What is Brian Thomas's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Thomas enrolled in Medicare?

Yes. Brian 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 Brian Thomas accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Brian 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 Brian Thomas affiliated with any hospitals?

According to CMS data, Brian Thomas is affiliated with Bingham Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Thomas was last updated on August 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.