PAUL AUSTIN THOMAS MD
NPI 1720077910
Orthopaedic Surgery in Franklin, TN

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
76.06/100
CMS Quality Rating
4323 CAROTHERS PKWY STE 201, FRANKLIN, TN 37067(615) 791-2630(615) 791-2639 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paul Austin Thomas Md NPPES

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

PAUL AUSTIN THOMAS MD (NPI 1720077910) is an individual orthopaedic surgery provider in Franklin, Tennessee, licensed in Tennessee (MD16188) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1720077910
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL AUSTIN THOMASCredential: MD
Location Address4323 CAROTHERS PKWY STE 201Franklin, TN 37067-5973
Mailing Address206 Bedford WayFranklin, TN 37064-5526 · (615) 790-3290 · Fax (615) 794-8845
Fax(615) 791-2639
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 19, 2005
Last NPPES UpdateNovember 30, 2018
NPI 1720077910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in TN · MD16188 Licensed in AL · 16490
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.
4323 CAROTHERS PKWY STE 201, Franklin, TN 37067

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

Paul Austin 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 ID3870645757
PECOS Enrollment IDI20090723000741
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 33

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
5,882 services69 patients
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.
488 services325 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
389 services268 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.
307 services307 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
290 services28 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
241 services188 patients

Hospital Affiliations CMS Care Compare 2

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Southern Tennessee Regional Health System Lawrence

Acute Care Hospitals · Lawrenceburg, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440175
Location1607 South Locust AvenueLawrenceburg, TN 38464 · Lawrence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37067 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

76.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Promoting Interoperability94
Improvement Activities40
Cost57.68

Referred Medical Equipment & Supplies CMS DME claims 4

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier11 claims11 services$59.14 avg. paid by Medicare
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
2 suppliers22 claims22 services$74.35 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers28 claims28 services$79.56 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier12 claims12 services$200.67 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 2

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

Physician Assistant
4323 CAROTHERS PKWY STE 201
FRANKLIN, TN 37067
Physician Assistant
4323 CAROTHERS PKWY STE 201
FRANKLIN, TN 37067

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 Paul Thomas's NPI number?

The NPI number for Paul Thomas is 1720077910. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Paul Thomas located?

Paul Thomas practices at 4323 Carothers Pkwy Ste 201, Franklin, TN 37067. The listed phone number is (615) 791-2630.

What is Paul Thomas's specialty?

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

Is Paul Thomas enrolled in Medicare?

Yes. Paul 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 Paul Thomas accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Paul 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.

Is Paul Thomas affiliated with any hospitals?

According to CMS data, Paul Thomas is affiliated with Maury Regional Hospital and Southern Tennessee Regional Health System Lawrence.

When was this NPI record last updated?

The NPPES record for Paul Thomas was last updated on November 30, 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.