DR. THOMAS A AMBROSE II MD
NPI 1679524805
Orthopaedic Surgery in Effingham, IL

Q: What is Thomas Ambrose's NPI number?

The NPI number for Thomas Ambrose is 1679524805. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Thomas Ambrose's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Ambrose was last updated on January 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment

900 W TEMPLE AVE STE 2500, EFFINGHAM, IL 62401(217) 540-2350(217) 347-2323 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 17, 2017, May 13, 2016 (2 updates tracked since 2016).

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About Dr. Thomas A Ambrose Ii Md NPPES

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

DR. THOMAS A AMBROSE II MD (NPI 1679524805) is an individual orthopaedic surgery provider in Effingham, Illinois, licensed in South Dakota (10090) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1679524805

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. THOMAS A AMBROSE IICredential: MD

Location Address900 W TEMPLE AVE STE 2500Effingham, IL 62401-2121

Mailing Address900 W Temple Ave Ste 2500Effingham, IL 62401-2121 · (217) 540-2350 · Fax (217) 347-2323

Phone(217) 540-2350

Fax(217) 347-2323

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1983

Enumeration DateMay 12, 2006

Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1679524805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in SD · 10090✔ Licensed in IN · 01037487A✔ Licensed in IA · 41335✔ Licensed in IL · 036172356

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

900 W TEMPLE AVE STE 2500, Effingham, IL 62401

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Secondary Practice Location 1

Location 1911 E. 20th St., Ste. 300Sioux Falls, SD 57105-1045 · Phone (605) 322-1300 · Fax (605) 322-1301

Other Identifiers 2

Medicaid100357760IN

Other000000247026IN · Anthem Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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 A Ambrose Ii 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 ID9537051271

PECOS Enrollment IDI20161108001963, I20241126002199

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.

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Hshs Holy Family Hospital Inc

Acute Care Hospitals · Greenville, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number140137

Location200 Health Care DrGreenville, IL 62246 · Bond County

Emergency services

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL

OwnershipVoluntary non-profit - Other

CMS Certification Number141346

Location650 W Taylor StVandalia, IL 62471 · Fayette County

Emergency services

Hshs Good Shepherd Hospital Inc

Critical Access Hospitals · Shelbyville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141354

Location200 S Cedar StShelbyville, IL 62565 · Shelby County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier11 claims11 services$59.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

EMILY K KONRAD APRN

Nurse Practitioner