THOMAS J CLEGG MD
NPI 1730162231
Otolaryngology in Kingwood, TX

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
22999 HIGHWAY 59 N, BLDG B, SUITE 400, KINGWOOD, TX 77339(281) 358-2314(281) 358-2357 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2019, Sep 16, 2019, Mar 15, 2016 (3 updates tracked since 2016).

About Thomas J Clegg Md NPPES

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

THOMAS J CLEGG MD (NPI 1730162231) is an individual otolaryngology provider in Kingwood, Texas, licensed in Texas (F3842) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (1979).

NPPES Registry Identity

NPI1730162231
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTHOMAS J CLEGGCredential: MD
Location Address22999 HIGHWAY 59 N, BLDG B, SUITE 400Kingwood, TX 77339-4412
Mailing Address14140 Southwest Fwy Ste 200Sugar Land, TX 77478-3842 · (281) 649-7000 · Fax (713) 484-6649
Fax(281) 358-2357
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1979
Enumeration DateNovember 29, 2005
Last NPPES UpdateOctober 21, 20193 updates tracked since enumeration
NPI 1730162231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · F3842
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
22999 HIGHWAY 59 N, Kingwood, TX 77339

Other Identifiers 1

Medicaid113905702TX

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

Thomas J Clegg 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 ID5294862991
PECOS Enrollment IDI20100429000467
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 8

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 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.
281 services202 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
152 services41 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.
93 services93 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.
69 services61 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services26 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450684
Location18951 Memorial NorthHumble, TX 77338 · Harris County
Emergency services Birthing friendly

Memorial Hermann Surgical Hospital Kingwood

Acute Care Hospitals · Kingwood, TX
OwnershipProprietary
CMS Certification Number670005
Location300 Kingwood Medical DriveKingwood, TX 77339 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77339 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers25 claims25 services$30.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers16 claims96 services$14.26 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers22 claims22 services$44.16 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers16 claims16 services$15.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers27 claims142 services$1.58 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
4 suppliers11 claims11 services$10.21 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 20

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

Otolaryngology (Otolaryngology/Facial Plastic Surgery)
22999 HIGHWAY 59 N
HUMBLE, TX 77339
Obstetrics & Gynecology (Obstetrics)
22999 HIGHWAY 59 N, STE 150
KINGWOOD, TX 77339
Nurse Practitioner (Acute Care)
22999 HIGHWAY 59 N
KINGWOOD, TX 77339
Internal Medicine
22999 HIGHWAY 59 N
KINGWOOD, TX 77339
Internal Medicine
22999 HIGHWAY 59 N
KINGWOOD, TX 77339
Student in an Organized Health Care Education/Training Program
22999 HIGHWAY 59 N
KINGWOOD, TX 77339
Nurse Practitioner (Acute Care)
22999 HIGHWAY 59 N
KINGWOOD, TX 77339
Nurse Practitioner (Acute Care)
22999 HIGHWAY 59 N
KINGWOOD, TX 77339

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 Clegg's NPI number?

The NPI number for Thomas Clegg is 1730162231. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Thomas Clegg located?

Thomas Clegg practices at 22999 Highway 59 N Bldg B, Suite 400, Kingwood, TX 77339. The listed phone number is (281) 358-2314.

What is Thomas Clegg's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Clegg enrolled in Medicare?

Yes. Thomas Clegg 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 Clegg accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Thomas Clegg 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 Thomas Clegg affiliated with any hospitals?

According to CMS data, Thomas Clegg is affiliated with Memorial Hermann Northeast Hospital and Memorial Hermann Surgical Hospital Kingwood.

When was this NPI record last updated?

The NPPES record for Thomas Clegg was last updated on October 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.