DR. ADEEB E THOMAS JR. M.D.
NPI 1568443786
Internal Medicine in Birmingham, AL

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
65.34/100
CMS Quality Rating
1430 GADSDEN HWY, SUITE 112, BIRMINGHAM, AL 35235(205) 661-0003(205) 661-3017 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2015, Dec 8, 2015 (2 updates tracked since 2015).

About Dr. Adeeb E Thomas Jr. M.d. NPPES

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

DR. ADEEB E THOMAS JR. M.D. (NPI 1568443786) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (15172) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1984).

NPPES Registry Identity

NPI1568443786
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ADEEB E THOMAS JR.Credential: M.D.
Location Address1430 GADSDEN HWY, SUITE 112Birmingham, AL 35235-3103
Mailing Address1430 Gadsden Hwy, Suite 112Birmingham, AL 35235-3103 · (205) 661-0003
Fax(205) 661-3017
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1984
Enumeration DateNovember 7, 2005
Last NPPES UpdateDecember 22, 20152 updates tracked since enumeration
NPI 1568443786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AL · 15172
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1430 GADSDEN HWY, Birmingham, AL 35235

Other Identifiers 3

Medicaid000099270AL
Medicare UPINE47821AL
Medicare ID-Type Unspecified000099270AL · Alabama Medicare #

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. Adeeb E Thomas Jr. M.d. 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 ID2264324441
PECOS Enrollment IDI20100331000262
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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
854 services204 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
661 services164 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
225 services197 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
55 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

65.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality29.75
Improvement Activities40
Cost44.8

Reported Quality Measures

Advance Care Plan
0%862 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
0%4,216 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%955 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%946 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%4,215 patients1/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 852 patients
Patients totalRate: 1% · 864 patients
0%864 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims16 services$8.79 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier11 claims11 services$3.52 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims264 services$2.29 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier18 claims924 services$0.37 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims550 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims550 services$0.23 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 3

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

Internal Medicine
1430 GADSDEN HWY, STE 112
BIRMINGHAM, AL 35235
Anesthesiology (Pain Medicine)
1430 GADSDEN HWY, SUITE 116 - 150
BIRMINGHAM, AL 35235
Counselor (Mental Health)
1430 GADSDEN HWY
BIRMINGHAM, AL 35235

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 Adeeb Thomas's NPI number?

The NPI number for Adeeb Thomas is 1568443786. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Adeeb Thomas located?

Adeeb Thomas practices at 1430 Gadsden Hwy Suite 112, Birmingham, AL 35235. The listed phone number is (205) 661-0003.

What is Adeeb Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Adeeb Thomas enrolled in Medicare?

Yes. Adeeb 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 Adeeb Thomas accept?

Health plans from Blue Cross and Blue Shield of Alabama list Adeeb 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 Adeeb Thomas was last updated on December 22, 2015. 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.