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DUNCAN EDWARD THOMAS BMBS
NPI 1568948610
Emergency Medicine in Louisville, KY

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
88.06/100
CMS Quality Rating
EMERGENCY DEPARTMENT, 530 S JACKSON STREET, LOUISVILLE, KY 40202(502) 852-0066 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2021, Jul 12, 2018 (2 updates tracked since 2018).

About Duncan Edward Thomas Bmbs NPPES

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

DUNCAN EDWARD THOMAS BMBS (NPI 1568948610) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Guam (M-2266) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Guam Regional Medical City, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568948610
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDUNCAN EDWARD THOMASCredential: BMBS
Location AddressEMERGENCY DEPARTMENT, 530 S JACKSON STREETLouisville, KY 40202
Mailing AddressEmergency Department, 530 S Jackson StreetLouisville, KY 40202
Phone(502) 852-0066
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 12, 2018
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 19, 2021
✔ NPI 1568948610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GU · M-2266
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
EMERGENCY DEPARTMENT, Louisville, KY 40202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Duncan Edward Thomas Bmbs 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 ID4486989589
PECOS Enrollment IDI20211007002866
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.

Medicare Billing Reassignment

Medicare enrollment records show Duncan Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Guam Healthcare Development Incorporated
Clinic/Center
133 ROUTE 3
Dededo, GU 96929
  • Reassigned Medicare billing, Guam enrollment
  • 432 clinicians in this Medicare group
NPI 1326447939 (671) 645-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
238 services213 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
170 services158 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
76 services74 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Guam Regional Medical City

Acute Care Hospitals · Dededo, GU
OwnershipVoluntary non-profit - Private
CMS Certification Number650003
Location133 Route 3Dededo, GU 96929 · Guam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

88.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.23
Improvement Activities40
Cost74.73

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 Duncan Thomas's NPI number?

The NPI number for Duncan Thomas is 1568948610. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Duncan Thomas located?

Duncan Thomas practices at Emergency Department 530 S Jackson Street, Louisville, KY 40202. The listed phone number is (502) 852-0066.

What is Duncan Thomas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Duncan Thomas enrolled in Medicare?

Yes. Duncan 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.

Which organization bills Medicare for Duncan Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duncan Thomas reassigns Medicare benefits to Guam Healthcare Development Incorporated (Dededo, GU). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Duncan Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Duncan Thomas affiliated with any hospitals?

According to CMS data, Duncan Thomas is affiliated with Guam Regional Medical City.

When was this NPI record last updated?

The NPPES record for Duncan Thomas was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.