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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THOMAS ALLEN WOODBURY D.O.
NPI 1609878115
Family Medicine - Geriatric Medicine in Rancho Cucamonga, CA

Active since August 15, 2005PECOS Enrolled
9089 BASELINE RD, SUITE 100, RANCHO CUCAMONGA, CA 91730(909) 941-9927(909) 941-9027 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Allen Woodbury D.o. NPPES

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

THOMAS ALLEN WOODBURY D.O. (NPI 1609878115) is an individual geriatric medicine provider in Rancho Cucamonga, California, licensed in California (20A5929) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1609878115
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameTHOMAS ALLEN WOODBURYCredential: D.O.
Location Address9089 BASELINE RD, SUITE 100Rancho Cucamonga, CA 91730-1295
Mailing Address9089 Baseline Rd, Suite 100Rancho Cucamonga, CA 91730-1295 · (909) 941-9927 · Fax (909) 941-9027
Phone(909) 941-9927
Fax(909) 941-9027
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1609878115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in CA · 20A5929
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
9089 BASELINE RD, Rancho Cucamonga, CA 91730
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Other Identifiers 1

Medicaid00AX59290CA

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 Allen Woodbury D.o. 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 ID1850295197
PECOS Enrollment IDI20120120000521
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 2

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 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.
37 services22 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.
29 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers17 claims515 services$5.34 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims365 services$4.47 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier12 claims144 services$3.28 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
4 suppliers48 claims1,414 services$4.22 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
3 suppliers24 claims9,424 services$0.32 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
2 suppliers24 claims11,607 services$0.52 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 10

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

DR. LAURI LEE ROGERS PSY.D.
Psychologist (Clinical)
9089 BASELINE RD, SUITE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567
MRS. MARIA GERARDA VALENTIN DE DOMENA L.C.S.W.
Social Worker (Clinical)
9089 BASELINE RD, STE. 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567
ANGELA JO COCHRAN PA
Physician Assistant
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 483-0505
BRIAN TERRY SHAW D.O.,
Family Medicine
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 483-0505
DR. GENEVIEVE B BUENAFLOR D.O.
Family Medicine
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 464-9675
DANIEL HESTEHAUGE P.A
Physician Assistant
9089 BASELINE RD, SUITE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 483-0505
MRS. GWENDOLYN HARVILLE WASHINGTON LCSW
Social Worker (Clinical)
9089 BASELINE RD, SUITE 200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 210-5895
DR. HOLLY MILLER PSY.D.
Psychologist (Clinical Child & Adolescent)
9089 BASELINE RD, STE #200
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-3567

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 Woodbury's NPI number?

The NPI number for Thomas Woodbury is 1609878115. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Thomas Woodbury located?

Thomas Woodbury practices at 9089 Baseline Rd Suite 100, Rancho Cucamonga, CA 91730. The listed phone number is (909) 941-9927.

What is Thomas Woodbury's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Thomas Woodbury enrolled in Medicare?

Yes. Thomas Woodbury 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.

When was this NPI record last updated?

The NPPES record for Thomas Woodbury was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.