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THOMAS JAMES SMALL MD
NPI 1720083082
Emergency Medicine in Franklin, IN

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
1101 W JEFFERSON ST, STE H, FRANKLIN, IN 46131(317) 736-9655(317) 738-0922 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, Apr 6, 2022 (2 updates tracked since 2022).

About Thomas James Small Md NPPES

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

THOMAS JAMES SMALL MD (NPI 1720083082) is an individual emergency medicine provider in Franklin, Indiana, licensed in Indiana (01025451A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1974).

NPPES Registry Identity

NPI1720083082
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHOMAS JAMES SMALLCredential: MD
Location Address1101 W JEFFERSON ST, STE HFranklin, IN 46131-2184
Mailing Address1101 W Jefferson St, Ste HFranklin, IN 46131-2184 · (317) 736-9655 · Fax (317) 738-0922
Phone(317) 736-9655
Fax(317) 738-0922
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 1974
Enumeration DateJune 14, 2005
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1720083082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 01025451A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedSpecialistTaxonomy 174400000X · License 25451 (IN)
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 0102451A (IN)
1101 W JEFFERSON ST, Franklin, IN 46131
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Other Identifiers 1

Medicaid100154600AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Thomas James Small 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 ID9638103807
PECOS Enrollment IDI20081203000408
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 4

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.

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure) G2088
This service involves office-based treatment for opioid addiction, including coordinating care, individual and group therapy. It extends beyond the initial 2 hours, with every additional half hour listed separately. The focus is on comprehensive care to manage opioid dependency.
199 services24 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
167 services31 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.
100 services34 patients
Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087
This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.
95 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46131 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

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

THOMAS J. SMALL, MD, INC.
Specialist
1101 W JEFFERSON ST, SUITE H
FRANKLIN, IN 46131
Johnson County (317) 736-9655
INDIANA HEART ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
1101 W JEFFERSON ST, SUITE A
FRANKLIN, IN 46131
Johnson County (317) 736-7651
OTOLARYNGOLOGY ASSOCIATES LLC
Otolaryngology
1101 W JEFFERSON ST, STE S
FRANKLIN, IN 46131
Johnson County (317) 844-7059
INDIANA CARDIAC & VASCULAR CONSULTANTS
Specialist
1101 W JEFFERSON ST, SUITE J
FRANKLIN, IN 46131
Johnson County (317) 736-8383
EYE SPECIALIST OF INDIANA, P.C.
Optometrist
1101 W JEFFERSON ST
FRANKLIN, IN 46131
Johnson County (317) 738-2020
DR. DESIREE HENSEL CNS
Clinical Nurse Specialist (Pediatrics)
1101 W JEFFERSON ST, SUITE T
FRANKLIN, IN 46131
Johnson County (317) 736-5515
INDIANA ORTHOPAEDIC CENTER
Orthopaedic Surgery
1101 W JEFFERSON ST, SUITE K
FRANKLIN, IN 46131
Johnson County (317) 588-2663

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 Small's NPI number?

The NPI number for Thomas Small is 1720083082. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Thomas Small located?

Thomas Small practices at 1101 W Jefferson St Ste H, Franklin, IN 46131. The listed phone number is (317) 736-9655.

What is Thomas Small's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Small enrolled in Medicare?

Yes. Thomas Small 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 Thomas Small accept?

Health plans from CareSource list Thomas Small 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 Thomas Small was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.