DR. THOMAS PRICE MD
NPI 1568525160
Internal Medicine - Cardiovascular Disease in Mt Vernon, NY

Active since December 18, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
105 STEVENS AVE, 6TH FLOOR, MT VERNON, NY 10550(914) 664-4052 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Sep 15, 2021 (2 updates tracked since 2021).

About Dr. Thomas Price Md NPPES

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

DR. THOMAS PRICE MD (NPI 1568525160) is an individual cardiovascular disease provider in Mt Vernon, New York, licensed in New York (133980) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Phelps Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1975).

NPPES Registry Identity

NPI1568525160
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. THOMAS PRICECredential: MD
Location Address105 STEVENS AVE, 6TH FLOORMt Vernon, NY 10550-2686
Mailing Address105 Stevens Ave, 6th FloorMt Vernon, NY 10550-2686 · (914) 664-4052
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1975
Enumeration DateDecember 18, 2006
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
NPI 1568525160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NY · 133980
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 133980 (NY)
105 STEVENS AVE, Mt Vernon, NY 10550

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 Price 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 ID7315185741
PECOS Enrollment IDI20130524000294
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 20

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.
274 services142 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.
232 services96 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
232 services57 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
217 services203 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
209 services149 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
172 services85 patients

Hospital Affiliations CMS Care Compare

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10550 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers19 claims43 services$6.05 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.

Obstetrics & Gynecology
105 STEVENS AVE, SUITE 505
MOUNT VERNON, NY 10550
Pediatrics
105 STEVENS AVE, SUITE 207
MT VERNON, NY 10550
Pharmacist
105 STEVENS AVE
MOUNT VERNON, NY 10550
Dentist (General Practice)
105 STEVENS AVE, 606
MT VERNON, NY 10550
Optometrist
105 STEVENS AVE, SUITE 203
MOUNT VERNON, NY 10550
Pharmacist
105 STEVENS AVE
MOUNT VERNON, NY 10550
Family Medicine
105 STEVENS AVE, SUITE 408
MOUNT VERNON, NY 10550
Optometrist
105 STEVENS AVE, SUITE #203
MOUNT VERNON, NY 10550

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 Price's NPI number?

The NPI number for Thomas Price is 1568525160. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Thomas Price located?

Thomas Price practices at 105 Stevens Ave 6th Floor, Mt Vernon, NY 10550. The listed phone number is (914) 664-4052.

What is Thomas Price's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Price enrolled in Medicare?

Yes. Thomas Price 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.

Is Thomas Price affiliated with any hospitals?

According to CMS data, Thomas Price is affiliated with Phelps Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Price was last updated on October 6, 2021. 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.