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DR. THOMAS EDWARD CONTE MD
NPI 1558329516
Surgery in Van Wert, OH

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
88.31/100
CMS Quality Rating
140 FOX RD, SUITE 401, VAN WERT, OH 45891(419) 238-4909(419) 238-9615 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Sep 30, 2020, Aug 10, 2016 (3 updates tracked since 2016).

About Dr. Thomas Edward Conte Md NPPES

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

DR. THOMAS EDWARD CONTE MD (NPI 1558329516) is an individual surgery provider in Van Wert, Ohio, licensed in Ohio (35071740) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Van Wert County Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1984).

NPPES Registry Identity

NPI1558329516
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. THOMAS EDWARD CONTECredential: MD
Location Address140 FOX RD, SUITE 401Van Wert, OH 45891-2475
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(419) 238-4909
Fax(419) 238-9615
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1984
Enumeration DateMay 1, 2006
Last NPPES UpdateMarch 26, 20243 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1558329516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35071740
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 35071740 (OH)
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License 35071740 (OH)
140 FOX RD, Van Wert, OH 45891
Open in Google Maps ↗

Other Identifiers 2

Medicaid931353OH
Other35071740OH · Ohio Med Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 Edward Conte 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 ID2365470747
PECOS Enrollment IDI20060810000018
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 10

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 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.
38 services34 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.
36 services36 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services28 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
24 services23 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
21 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Van Wert County Hospital

Acute Care Hospitals · Van Wert, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360071
Location1250 S Washington StreetVan Wert, OH 45891 · Van Wert County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45891 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

88.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.42
Promoting Interoperability100
Improvement Activities40
Cost77.62

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.

PHYSICAL MEDICINE CENTER OF VAN WERT, INC.
Physical Medicine & Rehabilitation
140 FOX RD, SUITE 303
VAN WERT, OH 45891
Van Wert County (419) 232-6333
KATHY MARIE CARR PH.D.
Psychologist
140 FOX RD, SUITE 303
VAN WERT, OH 45891
Van Wert County (419) 232-6010
VAN WERT MEDICAL SERVICES, LTD.
Podiatrist
140 FOX RD, SUITE 104
VAN WERT, OH 45891
Van Wert County (419) 232-5291
HOPE CANCER CENTER OF NORTHWEST OHIO
Internal Medicine (Hematology & Oncology)
140 FOX RD, SUITE 104
VAN WERT, OH 45891
Van Wert County (419) 238-0004
SHELLEY KREEGER AT
Specialist/Technologist (Athletic Trainer)
140 FOX RD, SUITE 101
VAN WERT, OH 45891
Van Wert County (419) 238-8691
DR. MATTHEW W. MILLER M.D.
Family Medicine
140 FOX RD, SUITE 202
VAN WERT, OH 45891
Van Wert County (419) 238-6735
KELLY JAE STRALEY CNP
Nurse Practitioner (Occupational Health)
140 FOX RD
VAN WERT, OH 45891
Van Wert County (419) 232-5279
DENTAL CENTER OF NORTHWEST OHIO
Clinic/Center (Dental)
140 FOX RD, SUITE 207
VAN WERT, OH 45891
Van Wert County (419) 241-1644

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 Conte's NPI number?

The NPI number for Thomas Conte is 1558329516. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Thomas Conte located?

Thomas Conte practices at 140 Fox Rd Suite 401, Van Wert, OH 45891. The listed phone number is (419) 238-4909.

What is Thomas Conte's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Conte enrolled in Medicare?

Yes. Thomas Conte 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 Conte accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Thomas Conte 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 Conte affiliated with any hospitals?

According to CMS data, Thomas Conte is affiliated with Van Wert County Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Conte was last updated on March 26, 2024. 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.