DR. THOMAS KEITH ISON D.O.
NPI 1548290042
Ophthalmology in Pikeville, KY

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
86.86/100
CMS Quality Rating
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501(606) 430-2209(606) 218-7509 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 20, 2022, Apr 29, 2021 (2 updates tracked since 2021).

About Dr. Thomas Keith Ison D.o. NPPES

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

DR. THOMAS KEITH ISON D.O. (NPI 1548290042) is an individual ophthalmology provider in Pikeville, Kentucky, licensed in Kentucky (02978) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2002).

NPPES Registry Identity

NPI1548290042
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS KEITH ISONCredential: D.O.
Location Address911 BYPASS RD BLDG APikeville, KY 41501-1689
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2209 · Fax (606) 218-7509
Fax(606) 218-7509
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2002
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1548290042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in KY · 02978
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.
911 BYPASS RD BLDG A, Pikeville, KY 41501

Other Identifiers 1

Medicaid7100037860KY

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

Dr. Thomas Keith Ison D.o. 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 ID4587767991
PECOS Enrollment IDI20070305000620
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 12

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 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.
323 services314 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
206 services147 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
168 services101 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
144 services144 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.
124 services123 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
71 services70 patients

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

86.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.39
Promoting Interoperability100
Improvement Activities40
Cost70.65

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.

Physician Assistant
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Surgery
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Anesthesiology (Critical Care Medicine)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Practitioner (Family)
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Hospitalist
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501
Nurse Anesthetist, Certified Registered
911 BYPASS RD BLDG A
PIKEVILLE, KY 41501

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 Ison's NPI number?

The NPI number for Thomas Ison is 1548290042. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Thomas Ison located?

Thomas Ison practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-2209.

What is Thomas Ison's specialty?

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

Is Thomas Ison enrolled in Medicare?

Yes. Thomas Ison 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 Ison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Thomas Ison 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 Ison affiliated with any hospitals?

According to CMS data, Thomas Ison is affiliated with Pikeville Medical Center and Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Ison was last updated on July 20, 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.