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THOMAS HERRON GETREU M.D.
NPI 1649513185
Hospitalist in Cincinnati, OH

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10500 MONTGOMERY RD, CINCINNATI, OH 45242(513) 865-2246(513) 865-5596 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2019, Jul 10, 2017, May 24, 2017 and 1 more (4 updates tracked since 2015).

About Thomas Herron Getreu M.d. NPPES

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

THOMAS HERRON GETREU M.D. (NPI 1649513185) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35.127512) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1649513185
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTHOMAS HERRON GETREUCredential: M.D.
Location Address10500 MONTGOMERY RDCincinnati, OH 45242
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 853-4684 · Fax (513) 852-8525
Phone(513) 865-2246
Fax(513) 865-5596
Sole ProprietorNo
Medical School CMSGeorgia College Of Eclectric Medicine And SurgeryGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateMay 7, 20194 updates tracked since enumeration
✔ NPI 1649513185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.127512
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.127512 (OH)
10500 MONTGOMERY RD, Cincinnati, OH 45242
Open in Google Maps ↗

Secondary Practice Location 1

Location 1234 Goodman St, ML 0781Cincinnati, OH 45219-2364 · Phone (513) 584-4505 · Fax (513) 584-0468

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Thomas Herron Getreu 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 ID9537399365
PECOS Enrollment IDI20161028000784
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 Reassignments

2

Medicare enrollment records show Thomas Getreu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC
0.1 mi
Pulmonary Disease
10496 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1548695638 (513) 793-2654
Trihealth G LLC
12 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
423 services220 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
186 services120 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
176 services175 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
170 services164 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers45 claims45 services$15.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers46 claims46 services$75.20 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 20

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

DRAKE A SECCURRO MD
Hospitalist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
GREGORIO MICELI DPM
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
BENJAMIN BETHAY
Student in an Organized Health Care Education/Training Program
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1111
SMITH BEARELLY MD
Hospitalist
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 865-2246
VICTOR KOMLA DOE
Pharmacist
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-1184
REGENCY HOSPITAL OF CINCINNATI, LLC
Internal Medicine
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (717) 972-1100
SYED SHAD MAHMOOD
Internal Medicine (Critical Care Medicine)
10500 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-2246
DAVID A. FENWICK P.A.-C
Physician Assistant
10500 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (514) 865-1111

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 Getreu's NPI number?

The NPI number for Thomas Getreu is 1649513185. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Thomas Getreu located?

Thomas Getreu practices at 10500 Montgomery Rd, Cincinnati, OH 45242. The listed phone number is (513) 865-2246.

What is Thomas Getreu's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Thomas Getreu enrolled in Medicare?

Yes. Thomas Getreu 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 organizations bill Medicare for Thomas Getreu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Getreu reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). Each 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 Thomas Getreu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Getreu accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Thomas Getreu 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 Getreu affiliated with any hospitals?

According to CMS data, Thomas Getreu is affiliated with Good Samaritan Hospital, Clinton Memorial Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Thomas Getreu was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.