MR. THOMAS C DUNNE MD
NPI 1518939115
Psychiatry & Neurology - Neurology in Portage, MI

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
291 W CENTRE AVE, PORTAGE, MI 49024(269) 488-8430(269) 488-8551 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Thomas C Dunne Md NPPES

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

MR. THOMAS C DUNNE MD (NPI 1518939115) is an individual neurology provider in Portage, Michigan, licensed in Michigan (4301 051949) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1518939115
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. THOMAS C DUNNECredential: MD
Location Address291 W CENTRE AVEPortage, MI 49024-5353
Mailing Address291 W Centre AvePortage, MI 49024-5353 · (269) 488-8430 · Fax (269) 488-8551
Fax(269) 488-8551
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateFebruary 7, 2006
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 6, 2020
✔ NPI 1518939115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 4301 051949
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
291 W CENTRE AVE, Portage, MI 49024

Other Identifiers 1

Medicaid158939115MI

Accepted 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

Mr. Thomas C Dunne 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 ID3476545575
PECOS Enrollment IDI20040331000309
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 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.
113 services104 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.
74 services74 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.
39 services38 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.
27 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services25 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
21 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES

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

Physical Therapist
291 W CENTRE AVE
PORTAGE, MI 49024

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 Dunne's NPI number?

The NPI number for Thomas Dunne is 1518939115. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Thomas Dunne located?

Thomas Dunne practices at 291 W Centre Ave, Portage, MI 49024. The listed phone number is (269) 488-8430.

What is Thomas Dunne's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Dunne enrolled in Medicare?

Yes. Thomas Dunne 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 Dunne accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Thomas Dunne 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 Dunne affiliated with any hospitals?

According to CMS data, Thomas Dunne is affiliated with Bronson Methodist Hospital, Lakeland Hospital, St Joseph, Bronson Battle Creek Hospital, Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Dunne was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.