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M BIJOY THOMAS MD
NPI 1528031820
Obstetrics & Gynecology - Gynecologic Oncology in Allentown, PA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
1240 S CEDAR CREST BLVD, SUITE 401, ALLENTOWN, PA 18103(610) 402-3650(610) 402-3673 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2016, Nov 25, 2015 (2 updates tracked since 2015).

About M Bijoy Thomas Md NPPES

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

M BIJOY THOMAS MD (NPI 1528031820) is an individual gynecologic oncology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD428567) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1528031820
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameM BIJOY THOMASCredential: MD
Location Address1240 S CEDAR CREST BLVD, SUITE 401Allentown, PA 18103-6369
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 402-3650
Fax(610) 402-3673
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 8, 2006
Last NPPES UpdateMarch 14, 20162 updates tracked since enumeration
✔ NPI 1528031820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in PA · MD428567
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1240 S CEDAR CREST BLVD, Allentown, PA 18103
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH41534

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

M Bijoy 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 ID6507860459
PECOS Enrollment IDI20060907000029
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 4

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.

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
83 services83 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
68 services68 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
43 services43 patients
Removal of lymph nodes of both sides of pelvis using an endoscope 38571
This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.
41 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers17 claims236 services$2.50 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers11 claims210 services$5.65 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.

MR. ANTHONY J LIOTTA PA-C
Physician Assistant (Surgical)
1240 S CEDAR CREST BLVD, SUITE 308
ALLENTOWN, PA 18103
Lehigh County (610) 402-1314
ROBERT D BARRACO MD
Surgery (Trauma Surgery)
1240 S CEDAR CREST BLVD, SUITE 308
ALLENTOWN, PA 18103
Lehigh County (610) 402-1350
ROVINDER SINGH SANDHU MD
Surgery (Surgical Critical Care)
1240 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-1350
HEIWON CHUNG MD
Surgery (Surgical Oncology)
1240 S CEDAR CREST BLVD, SUITE 205
ALLENTOWN, PA 18103
Lehigh County (610) 402-7884
NILAY SUNIL PATEL
Internal Medicine
1240 S CEDAR CREST BLVD, SUITE 410
ALLENTOWN, PA 18103
Lehigh County (610) 402-5200
ALICIA GENEVA PRATT CRNP
Nurse Practitioner (Family)
1240 S CEDAR CREST BLVD, SUITE 208
ALLENTOWN, PA 18103
Lehigh County (610) 402-9780
DR. NICHOLAS E LAMPARELLA DO
Internal Medicine (Hematology & Oncology)
1240 S CEDAR CREST BLVD, SUITE 401
ALLENTOWN, PA 18103
Lehigh County (610) 402-7880
ERIC TREASTER
Physician Assistant (Medical)
1240 S CEDAR CREST BLVD, SUITE 308
ALLENTOWN, PA 18103
Lehigh County (610) 402-1350

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 M Thomas's NPI number?

The NPI number for M Thomas is 1528031820. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is M Thomas located?

M Thomas practices at 1240 S Cedar Crest Blvd Suite 401, Allentown, PA 18103. The listed phone number is (610) 402-3650.

What is M Thomas's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is M Thomas enrolled in Medicare?

Yes. M 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 M Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list M 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 M Thomas affiliated with any hospitals?

According to CMS data, M Thomas is affiliated with Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for M Thomas was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.