DR. THOMAS MICHAEL PILKINGTON MD
NPI 1669648176
Otolaryngology in Arlington, VA

Active since May 05, 2008PECOS EnrolledAccepts Medicare Assignment
1635 N GEORGE MASON DR, SUITE 250, ARLINGTON, VA 22205(703) 524-1212(703) 524-4595 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Michael Pilkington Md NPPES

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

DR. THOMAS MICHAEL PILKINGTON MD (NPI 1669648176) is an individual otolaryngology provider in Arlington, Virginia, licensed in North Carolina (121996) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of Johns Hopkins University School Of Medicine (2004).

NPPES Registry Identity

NPI1669648176
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. THOMAS MICHAEL PILKINGTONCredential: MD
Location Address1635 N GEORGE MASON DR, SUITE 250Arlington, VA 22205-3601
Mailing Address1635 N George Mason Dr, Suite 250Arlington, VA 22205-3601 · (703) 524-1212 · Fax (703) 524-4595
Fax(703) 524-4595
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2004
Enumeration DateMay 5, 2008
Last NPPES UpdateAugust 4, 2010
NPI 1669648176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 121996
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1635 N GEORGE MASON DR, Arlington, VA 22205

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 Michael Pilkington 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 ID3375672702
PECOS Enrollment IDI20100524000738
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 13

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.
512 services342 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.
180 services137 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
151 services108 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
150 services91 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
135 services135 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
134 services117 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22205 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%1,095 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
74%509 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
25%1,154 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,154 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
32%1,154 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
42%1,154 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 20

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

Plastic Surgery
1635 N GEORGE MASON DR, SUITE #380
ARLINGTON, VA 22205
Internal Medicine (Infectious Disease)
1635 N GEORGE MASON DR, SUITE 180
ARLINGTON, VA 22205
Internal Medicine (Cardiovascular Disease)
1635 N GEORGE MASON DR, SUITE 150
ARLINGTON, VA 22205
Physician Assistant
1635 N GEORGE MASON DR, STE 310
ARLINGTON, VA 22205
Physical Therapist
1635 N GEORGE MASON DR, SUITE 110
ARLINGTON, VA 22205
Family Medicine
1635 N GEORGE MASON DR, SUITE 410
ARLINGTON, VA 22205
Physical Therapist
1635 N GEORGE MASON DR, SUITE 110
ARLINGTON, VA 22205
Clinic/Center (Primary Care)
1635 N GEORGE MASON DR, SUITE 455
ARLINGTON, VA 22205

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 Pilkington's NPI number?

The NPI number for Thomas Pilkington is 1669648176. It was assigned to this individual provider in the NPPES registry on May 5, 2008.

Where is Thomas Pilkington located?

Thomas Pilkington practices at 1635 N George Mason Dr Suite 250, Arlington, VA 22205. The listed phone number is (703) 524-1212.

What is Thomas Pilkington's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Pilkington enrolled in Medicare?

Yes. Thomas Pilkington 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.

Is Thomas Pilkington affiliated with any hospitals?

According to CMS data, Thomas Pilkington is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Thomas Pilkington was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.