Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THOMAS S MULLALLY MD
NPI 1629030879
Family Medicine in Croswell, MI

Active since April 04, 2006PECOS Enrolled
84.26/100
CMS Quality Rating
5525 E PECK RD, CROSWELL, MI 48422(810) 679-2950(810) 679-2960 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas S Mullally Md NPPES

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

THOMAS S MULLALLY MD (NPI 1629030879) is an individual family medicine provider in Croswell, Michigan, licensed in Michigan (TM051015) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Wayne State University School Of Medicine (1987).

NPPES Registry Identity

NPI1629030879
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS S MULLALLYCredential: MD
Location Address5525 E PECK RDCroswell, MI 48422
Mailing Address5525 E Peck RdCroswell, MI 48422 · (810) 679-2950 · Fax (810) 679-2960
Fax(810) 679-2960
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1987
Enumeration DateApril 4, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1629030879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · TM051015
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5525 E PECK RD, Croswell, MI 48422

Other Identifiers 2

Medicaid2695679MI
Other0760069Bcbsm

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 S Mullally 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 ID446417778
PECOS Enrollment IDI20120130000092
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 7

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.
587 services226 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
181 services181 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
170 services170 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
75 services74 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
38 services27 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
20 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Deckerville Community Hospital

Critical Access Hospitals · Deckerville, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231311
Location3559 Pine StDeckerville, MI 48427 · Sanilac County
Emergency services

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231314
Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48422 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

84.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.14
Improvement Activities40
Cost52.67

Reported Quality Measures

Breast Cancer Screening
83%207 patients4/55-star benchmark: 93%
Colorectal Cancer Screening
91%463 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
53%482 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%111 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
72%2,194 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 573 patients
Patients totalRate: 0% · 573 patients
0%573 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 24

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
11 suppliers44 claims143 services$5.70 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.45 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers33 claims57 services$0.91 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers16 claims16 services$40.51 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers43 claims80 services$1.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers20 claims20 services$116.32 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

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

General Practice
5525 E PECK RD
CROSWELL, MI 48422

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 Mullally's NPI number?

The NPI number for Thomas Mullally is 1629030879. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Thomas Mullally located?

Thomas Mullally practices at 5525 E Peck Rd, Croswell, MI 48422. The listed phone number is (810) 679-2950.

What is Thomas Mullally's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Mullally enrolled in Medicare?

Yes. Thomas Mullally 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 Mullally accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and McLaren Health Plan Community list Thomas Mullally 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 Mullally affiliated with any hospitals?

According to CMS data, Thomas Mullally is affiliated with Lake Huron Medical Center, Mclaren Port Huron, Deckerville Community Hospital and Mckenzie Health System.

When was this NPI record last updated?

The NPPES record for Thomas Mullally was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.