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

DR. GIDDEL G A THOM MD
NPI 1700078375
Pediatrics in Portales, NM

Q: What is Giddel Thom's NPI number?

The NPI number for Giddel Thom is 1700078375. It was assigned to this individual provider in the NPPES registry on August 16, 2007.

Q: What is Giddel Thom's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Giddel Thom was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 16, 2007PECOS Enrolled

1515 W FIR ST, PORTALES, NM 88130(575) 356-6695(575) 356-5948 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 26, 2026, May 7, 2018 (2 updates tracked since 2018).

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About Dr. Giddel G A Thom Md NPPES

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

DR. GIDDEL G A THOM MD (NPI 1700078375) is an individual pediatrics provider in Portales, New Mexico, licensed in New Mexico (MD2009-0687) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700078375

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. GIDDEL G A THOMCredential: MD

Location Address1515 W FIR STPortales, NM 88130-5703

Mailing AddressPo Box 843Portales, NM 88130-0843 · (575) 356-6695 · Fax (575) 356-5948

Phone(575) 356-6695

Fax(575) 356-5948

Sole ProprietorNo

Enumeration DateAugust 16, 2007

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1700078375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NM · MD2009-0687

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X · License ME978766 (FL), MD2009-0687 (NM)

1515 W FIR ST, Portales, NM 88130

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Other Identifiers 2

Medicaid73252875NM

OtherME98766FL · Medical Licence

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Giddel G A Thom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88130 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$96.38 typical visit price

range $17.00 – $135.35

Typical copayment $24.09 (range $4.25 – $33.83)

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.

Other Providers at the Same Location NPPES 10

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

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