DR. SAM VARGHESE THOMAS DO
NPI 1720570716
Internal Medicine - Pulmonary Disease in Newark, DE

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 2E70, NEWARK, DE 19718(302) 733-3475(302) 733-6082 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Apr 2, 2024 (2 updates tracked since 2024).

About Dr. Sam Varghese Thomas Do NPPES

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

DR. SAM VARGHESE THOMAS DO (NPI 1720570716) is an individual pulmonary disease provider in Newark, Delaware, licensed in Delaware (C2-0024482) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Alabama College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1720570716
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SAM VARGHESE THOMASCredential: DO
Location Address4755 OGLETOWN STANTON RD STE 2E70Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Ste 2e70Newark, DE 19718-2200 · (302) 733-3475 · Fax (302) 733-6082
Fax(302) 733-6082
Sole ProprietorNo
Medical School CMSAlabama College Of Osteopathic MedicineGraduated 2018
Enumeration DateJune 5, 2018
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1720570716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in DE · C2-0024482✔ Licensed in NJ · 25MB11327000
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MB11327000 (NJ), C2-0024482 (DE)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License C2-0024482 (DE), 25MB11327000 (NJ)
4755 OGLETOWN STANTON RD STE 2E70, Newark, DE 19718

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sam Varghese Thomas Do 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 ID3779974639
PECOS Enrollment IDI20240620001030, I20240723000018
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sam Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
4755 OGLETOWN STANTON RD
Newark, DE 19718
  • Reassigned Medicare billing, Delaware enrollment
  • Also billed through NPI 1255618070 (Delaware)
  • 1,531 clinicians in this Medicare group
Urology
137 W HIGH ST STE 2B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 512 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
23 services23 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
21 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services12 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Registered Nurse
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718
Clinical Nurse Specialist (Acute Care)
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718
Nurse Practitioner (Critical Care Medicine)
4755 OGLETOWN STANTON RD STE 2E70
NEWARK, DE 19718

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 Sam Thomas's NPI number?

The NPI number for Sam Thomas is 1720570716. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Sam Thomas located?

Sam Thomas practices at 4755 Ogletown Stanton Rd Ste 2e70, Newark, DE 19718. The listed phone number is (302) 733-3475.

What is Sam Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sam Thomas enrolled in Medicare?

Yes. Sam 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.

Which organizations bill Medicare for Sam Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Thomas reassigns Medicare benefits to 2 organizations: Christiana Care Health Services, Inc (Newark, DE) and Union Hospital Of Cecil County, Inc. (Elkton, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sam Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sam Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Sam 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 Sam Thomas affiliated with any hospitals?

According to CMS data, Sam Thomas is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Sam Thomas was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.