JACOB K. THOMAS MD
NPI 1538328489
Ophthalmology in Springfield, MO

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1265 E PRIMROSE ST, SPRINGFIELD, MO 65804(417) 886-3937(417) 886-1285 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob K. Thomas Md NPPES

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

JACOB K. THOMAS MD (NPI 1538328489) is an individual ophthalmology provider in Springfield, Missouri, licensed in Missouri (2012003514) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1538328489
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJACOB K. THOMASCredential: MD
Location Address1265 E PRIMROSE STSpringfield, MO 65804-4278
Mailing Address1265 E Primrose StSpringfield, MO 65804-4278 · (417) 886-3937 · Fax (417) 886-1285
Fax(417) 886-1285
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 5, 2008
Last NPPES UpdateJune 23, 2020
NPPES CertifiedJune 23, 2020
NPI 1538328489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MO · 2012003514 Licensed in TX · N1182
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1265 E PRIMROSE ST, Springfield, MO 65804

Other Identifiers 1

Medicaid1407856263MO

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

Jacob K. 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 ID6305016775
PECOS Enrollment IDI20120725000343
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 16

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.

Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,130 services105 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
736 services293 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.
735 services334 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
596 services591 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
541 services129 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
296 services191 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 14

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

Nurse Anesthetist, Certified Registered
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Ophthalmology
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Optometrist
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Ophthalmology
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Clinic/Center (Ambulatory Surgical)
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Ophthalmology
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Ophthalmology
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804
Optometrist
1265 E PRIMROSE ST
SPRINGFIELD, MO 65804

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 Jacob Thomas's NPI number?

The NPI number for Jacob Thomas is 1538328489. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Jacob Thomas located?

Jacob Thomas practices at 1265 E Primrose St, Springfield, MO 65804. The listed phone number is (417) 886-3937.

What is Jacob Thomas's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jacob Thomas enrolled in Medicare?

Yes. Jacob 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 Jacob Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Jacob 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.

When was this NPI record last updated?

The NPPES record for Jacob Thomas was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.