DR. THOMAS WILLIAM BROWN M.D.
NPI 1609976612
Internal Medicine - Hematology & Oncology in Troy, AL

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
76.02/100
CMS Quality Rating
1340 HIGHWAY 231 S STE 6, TROY, AL 36081(334) 670-5475(334) 670-5446 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas William Brown M.d. NPPES

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

DR. THOMAS WILLIAM BROWN M.D. (NPI 1609976612) is an individual hematology & oncology provider in Troy, Alabama, licensed in Alabama (14492) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Hospital, and maintains a secondary practice location in Dothan.

NPPES Registry Identity

NPI1609976612
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. THOMAS WILLIAM BROWNCredential: M.D.
Location Address1340 HIGHWAY 231 S STE 6Troy, AL 36081-3012
Mailing Address287 Healthwest DrDothan, AL 36303-2031 · (334) 792-9500 · Fax (334) 793-1815
Fax(334) 670-5446
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1984
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 17, 2018
NPI 1609976612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in AL · 14492
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1340 HIGHWAY 231 S STE 6, Troy, AL 36081

Secondary Practice Location 1

Location 1287 Healthwest DrDothan, AL 36303-2031 · Phone (334) 792-9500 · Fax (334) 793-1815

Other Identifiers 6

Medicaid000087124AL
Other51081378AL · Blue Cross & Blue Shiled
Medicaid000081378AL
Medicaid00438776AGA
Other51087124AL · Blue Cross & Blue Shield
Other110052489Palmetto Gba- Rr 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. Thomas William Brown 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 ID6305819905
PECOS Enrollment IDI20100624000242, I20181004000610
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 6

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.
335 services202 patients
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.
157 services88 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
124 services75 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.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Jackson Hospital

Acute Care Hospitals · Marianna, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100142
Location4250 Hospital DrMarianna, FL 32446 · Jackson County
Emergency services Birthing friendly

Doctors Memorial Hospital

Critical Access Hospitals · Bonifay, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101307
Location2600 Hospital DrBonifay, FL 32425 · Holmes County

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101308
Location1360 Brickyard RdChipley, FL 32428 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36081 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
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.

76.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56
Promoting Interoperability97
Improvement Activities40
Cost60.39

Reported Quality Measures

Colorectal Cancer Screening
8%199 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
58%69 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%27 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
96%27 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
54%654 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%320 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%380 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 199 patients
0%199 patients
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.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1340 HIGHWAY 231 S STE 6
TROY, AL 36081

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 Brown's NPI number?

The NPI number for Thomas Brown is 1609976612. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Thomas Brown located?

Thomas Brown practices at 1340 Highway 231 S Ste 6, Troy, AL 36081. The listed phone number is (334) 670-5475.

What is Thomas Brown's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Thomas Brown enrolled in Medicare?

Yes. Thomas Brown 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 Brown accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Thomas Brown 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 Brown affiliated with any hospitals?

According to CMS data, Thomas Brown is affiliated with Jackson Hospital, Doctors Memorial Hospital and Northwest Florida Community Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Brown was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.