THOMAS WILLIAM MILBOURNE
NPI 1609411362
Nurse Practitioner - Family in Melbourne, FL

Active since November 16, 2019PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
1315 VALENTINE ST, MELBOURNE, FL 32901(321) 241-6800(321) 241-6890 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2023, Nov 9, 2021, Sep 9, 2021 and 4 more (7 updates tracked since 2019).

About Thomas William Milbourne NPPES

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

THOMAS WILLIAM MILBOURNE (NPI 1609411362) is an individual family provider in Melbourne, Florida, licensed in Florida (APRN11004608) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609411362
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS WILLIAM MILBOURNE
Location Address1315 VALENTINE STMelbourne, FL 32901-3127
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 241-6800 · Fax (321) 241-6890
Fax(321) 241-6890
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 16, 2019
Last NPPES UpdateApril 21, 20257 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
NPI 1609411362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11004608
1315 VALENTINE ST, Melbourne, FL 32901

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

Thomas William Milbourne 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 ID8022445923
PECOS Enrollment IDI20200304002515
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

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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Pharmacy (Community/Retail Pharmacy)
1315 VALENTINE ST
MELBOURNE, FL 32901
General Practice
1315 VALENTINE ST
MELBOURNE, FL 32901
Obstetrics & Gynecology (Gynecology)
1315 VALENTINE ST
MELBOURNE, FL 32901
Clinic/Center (Federally Qualified Health Center (FQHC))
1315 VALENTINE ST
MELBOURNE, FL 32901
Social Worker (Clinical)
1315 VALENTINE ST
MELBOURNE, FL 32901
Nurse Practitioner (Family)
1315 VALENTINE ST
MELBOURNE, FL 32901
Physician Assistant
1315 VALENTINE ST
MELBOURNE, FL 32901
Clinic/Center (Multi-Specialty)
1315 VALENTINE ST
MELBOURNE, FL 32901

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 Milbourne's NPI number?

The NPI number for Thomas Milbourne is 1609411362. It was assigned to this individual provider in the NPPES registry on November 16, 2019.

Where is Thomas Milbourne located?

Thomas Milbourne practices at 1315 Valentine St, Melbourne, FL 32901. The listed phone number is (321) 241-6800.

What is Thomas Milbourne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Milbourne enrolled in Medicare?

Yes. Thomas Milbourne 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 Milbourne accept?

Health plans from AvMed and UnitedHealthcare list Thomas Milbourne 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 Milbourne affiliated with any hospitals?

According to CMS data, Thomas Milbourne is affiliated with Adventhealth Orlando and Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Milbourne was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.