DR. SCOTT ANDREW THOMAS MD
NPI 1710033394
Ophthalmology in San Antonio, TX

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
70.67/100
CMS Quality Rating
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215(210) 226-6169(210) 226-8365 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2018, Oct 10, 2018, Feb 2, 2016 and 1 more (4 updates tracked since 2015).

About Dr. Scott Andrew Thomas Md NPPES

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

DR. SCOTT ANDREW THOMAS MD (NPI 1710033394) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (M6912) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2003).

NPPES Registry Identity

NPI1710033394
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SCOTT ANDREW THOMASCredential: MD
Location Address800 MCCULLOUGH AVESan Antonio, TX 78215-1625
Mailing Address800 Mccullough AveSan Antonio, TX 78215-1625 · (210) 226-6169 · Fax (210) 226-8365
Fax(210) 226-8365
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2003
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 19, 20184 updates tracked since enumeration
NPI 1710033394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in TX · M6912 Licensed in CO · DR.0059406
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
800 MCCULLOUGH AVE, San Antonio, TX 78215

Other Identifiers 1

Medicaid185903503TX

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

Dr. Scott Andrew Thomas 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 ID4688775596
PECOS Enrollment IDI20070723000369
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 11

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
435 services403 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
195 services87 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
186 services134 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
138 services126 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
133 services91 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
114 services96 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78215 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

70.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.36
Promoting Interoperability0
Improvement Activities40
Cost97.23

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%77 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.

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.

Optometrist
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Optometrist
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Optometrist
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Registered Nurse
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215
Ophthalmology
800 MCCULLOUGH AVE
SAN ANTONIO, TX 78215

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 Scott Thomas's NPI number?

The NPI number for Scott Thomas is 1710033394. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Scott Thomas located?

Scott Thomas practices at 800 Mccullough Ave, San Antonio, TX 78215. The listed phone number is (210) 226-6169.

What is Scott Thomas's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Scott Thomas enrolled in Medicare?

Yes. Scott Thomas 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 Scott Thomas accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 13 other insurers list Scott Thomas 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.

When was this NPI record last updated?

The NPPES record for Scott Thomas was last updated on December 19, 2018. 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.