THOMAS D KAELIN JR. DO
NPI 1740280841
Internal Medicine - Pulmonary Disease in N Charleston, SC

Q: What is Thomas Kaelin's NPI number?

The NPI number for Thomas Kaelin is 1740280841. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Q: What is Thomas Kaelin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Kaelin was last updated on October 28, 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.

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment

93.47/100

CMS Quality Rating

9150 MEDCOM ST. STE B, N CHARLESTON, SC 29406(843) 871-4006(843) 871-4074 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Thomas D Kaelin Jr. Do NPPES

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

THOMAS D KAELIN JR. DO (NPI 1740280841) is an individual pulmonary disease provider in N Charleston, South Carolina, licensed in South Carolina (0495) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1740280841

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameTHOMAS D KAELIN JR.Credential: DO

Location Address9150 MEDCOM ST. STE BN Charleston, SC 29406

Mailing Address9150 Medcom St. Ste BN Charleston, SC 29406 · (843) 871-4006 · Fax (843) 871-4074

Phone(843) 871-4006

Fax(843) 871-4074

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1991

Enumeration DateJuly 29, 2005

Last NPPES UpdateOctober 28, 2024

NPPES CertifiedOctober 28, 2024

✔ NPI 1740280841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in SC · 0495

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 Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 495 (SC)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 495 (SC)

9150 MEDCOM ST. STE B, N Charleston, SC 29406

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Secondary Practice Location 1

Location 1316 Calhoun StCharleston, SC 29401-1113 · Phone (843) 724-2450

Other Identifiers 1

Medicaid004952SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and more.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

Thomas D Kaelin Jr. 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 ID5698749695

PECOS Enrollment IDI20040827000085

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

Medicare enrollment records show Thomas Kaelin reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lowcountry Lung & Critical Care PA

Same address

Specialist

9150 MEDCOM ST, STE B
North Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
11 clinicians in this Medicare group

NPI 1013986017 (843) 572-3330

Roper Hospital Inc.

0.7 mi

Undersea and Hyperbaric Medicine

8950 UNIVERSITY BLVD, STE 300
N. Charleston, SC 29406

Reassigned Medicare billing, South Carolina enrollment
140 clinicians in this Medicare group

NPI 1104563758 (843) 724-2289

Summerville Sleep Consultants LLC

5.4 mi

Specialist

92 SPRINGVIEW LN
Summerville, SC 29485

Reassigned Medicare billing, South Carolina enrollment
11 clinicians in this Medicare group

NPI 1265507404 (843) 871-4006

Roper St Francis Hospital-Berkeley Inc.

6.5 mi

Critical Care Medicine

100 CALLEN BLVD
Summerville, SC 29486

Reassigned Medicare billing, South Carolina enrollment
53 clinicians in this Medicare group

NPI 1295534956 (854) 529-3100

Bon Secours St. Francis Xavier Hospital, Inc.

12 mi

Nutrition, Education

2097 HENRY TECKLENBURG DR STE 309W
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
375 clinicians in this Medicare group

NPI 1700620788 (843) 402-1966

Roper St. Francis Mount Pleasant Hospital

19 mi

Cardiovascular Disease

3500 HIGHWAY 17 BYP N
Mt Pleasant, SC 29466

Reassigned Medicare billing, South Carolina enrollment
114 clinicians in this Medicare group

NPI 1629499298 (843) 789-1620

Intensive Care Consortium Inc

483 mi

Specialist

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, South Carolina enrollment
26 clinicians in this Medicare group

NPI 1629019062 (561) 997-0821

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 13

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 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.

1,637 services1,111 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.

556 services459 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.

270 services270 patients

Therapy procedure using a positive pressure ventilator 94660

A positive pressure ventilator is a device that helps with breathing. It pushes air into the lungs to assist in maintaining oxygen levels. This can be essential for patients with conditions that affect their ability to breathe independently. It's non-invasive and comfortable.

164 services159 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.

69 services47 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.

61 services60 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

60 services59 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.

59 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services18 patients

Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming 95976

This procedure involves using electronic devices to analyze and adjust a neurostimulator generator. This device helps regulate nerve activity in the brain, improving certain neurological conditions. The programming is kept simple for easy understanding and management.

21 services14 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

18 services18 patients

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator 95970

This procedure involves using electronic devices to analyze the function of a neurostimulator - a device implanted in your brain, spinal cord, or peripheral nerves. It helps monitor and adjust the device's settings for optimal performance and patient comfort.

15 services13 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420065

Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County

Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420087

Location316 Calhoun StCharleston, SC 29401 · Charleston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

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.

93.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.1

Improvement Activities

Cost

80.29

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%51 patients5/55-star benchmark: 100%

Elder Maltreatment Screen and Follow-Up Plan

Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen

100%162 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

95%75 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%123 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

11%92 patients1/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

95%92 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

1%92 patients1/55-star benchmark: 59%

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.

Referred Medical Equipment & Supplies CMS DME claims 36

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier32 claims96 services$18.34 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

31 suppliers2,633 claims2,633 services$33.09 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers14 claims25 services$1.13 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers11 claims11 services$13.28 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

26 suppliers1,036 claims1,036 services$72.65 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

25 suppliers1,025 claims2,575 services$27.50 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

23 suppliers824 claims4,455 services$15.36 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

26 suppliers1,138 claims6,104 services$12.77 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

33 suppliers2,064 claims2,064 services$44.76 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

39 suppliers1,803 claims1,803 services$15.45 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

15 suppliers233 claims233 services$8.99 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

25 suppliers328 claims328 services$9.00 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

38 suppliers2,786 claims15,530 services$1.68 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

17 suppliers60 claims60 services$4.65 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

36 suppliers1,168 claims1,168 services$11.75 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers55 claims55 services$16.00 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$40.26 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

4 suppliers37 claims37 services$772.53 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

8 suppliers192 claims192 services$70.10 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

5 suppliers81 claims81 services$164.77 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

15 suppliers180 claims180 services$115.20 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

7 suppliers872 claims886 services$10.97 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers103 claims103 services$4.71 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

20 suppliers2,860 claims2,894 services$28.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

10 suppliers234 claims234 services$64.15 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers60 claims60 services$33.94 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier25 claims9,788 services$9.52 avg. paid by Medicare

Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier26 claims1,780 services$35.74 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers20 claims1,470 services$3.07 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers19 claims1,140 services$6.50 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims5,099 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers18 claims2,992 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

3 suppliers26 claims1,746 services$0.67 avg. paid by Medicare

Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552

DME-Other DME · category DE000N

1 supplier24 claims108 services$2.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers24 claims24 services$31.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers54 claims54 services$25.56 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

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

LESLIE DAWN WILKE D.O.

Internal Medicine (Pulmonary Disease)

9150 MEDCOM ST. STE B
N CHARLESTON, SC 29406

Charleston County (843) 871-4006

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 Kaelin's NPI number?

The NPI number for Thomas Kaelin is 1740280841. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Thomas Kaelin located?

Thomas Kaelin practices at 9150 Medcom St. Ste B, N Charleston, SC 29406. The listed phone number is (843) 871-4006.

What is Thomas Kaelin's specialty?

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

Is Thomas Kaelin enrolled in Medicare?

Yes. Thomas Kaelin 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 Thomas Kaelin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kaelin reassigns Medicare benefits to 7 organizations: Lowcountry Lung & Critical Care PA (North Charleston, SC), Roper Hospital Inc. (N. Charleston, SC), Summerville Sleep Consultants LLC (Summerville, SC), Roper St Francis Hospital-Berkeley Inc. (Summerville, SC), Bon Secours St. Francis Xavier Hospital, Inc. (Charleston, SC) and 2 more organizations, listed in the Medicare section above. 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 Thomas Kaelin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kaelin accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Thomas Kaelin 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 Kaelin affiliated with any hospitals?

According to CMS data, Thomas Kaelin is affiliated with Bon Secours-St Francis Xavier Hospital, Trident Medical Center and Roper Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Kaelin was last updated on October 28, 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.