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DR. THOMAS F CALTON M.D.
NPI 1770515264
Orthopaedic Surgery in Washington Terrace, UT

Active since July 07, 2006PECOS Enrolled
12.05/100
CMS Quality Rating
425 E 5350 S STE 205, WASHINGTON TERRACE, UT 84405(801) 540-9556 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas F Calton M.d. NPPES

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

DR. THOMAS F CALTON M.D. (NPI 1770515264) is an individual orthopaedic surgery provider in Washington Terrace, Utah, licensed in Utah (3203111205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770515264
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS F CALTONCredential: M.D.
Location Address425 E 5350 S STE 205Washington Terrace, UT 84405-6901
Mailing Address425 E 5350 S Ste 205Washington Terrace, UT 84405-6901 · (801) 540-9556
Phone(801) 540-9556
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
✔ NPI 1770515264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in UT · 3203111205
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.
425 E 5350 S STE 205, Washington Terrace, UT 84405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas F Calton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Thomas Calton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Utah Orthopaedics LLC
0.4 mi
Orthopaedic Surgery
5782 ADAMS AVENUE PARKWAY
Washington Terrace, UT 84405
  • Reassigned Medicare billing, Utah enrollment
  • 11 clinicians in this Medicare group
NPI 1497089908 (801) 920-3835

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 10

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.
163 services129 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
101 services32 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.
93 services93 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.
66 services45 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
49 services49 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.
48 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

12.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost40.19

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.

KRISTY BRUBAKER
Social Worker (Clinical)
425 E 5350 S STE 205
WASHINGTON TERRACE, UT 84405
Weber County (801) 851-5554
ELEVATE SURGICAL PC
Orthopaedic Surgery
425 E 5350 S STE 205
OGDEN, UT 84405
Weber County (801) 540-9556

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 Calton's NPI number?

The NPI number for Thomas Calton is 1770515264. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Thomas Calton located?

Thomas Calton practices at 425 E 5350 S Ste 205, Washington Terrace, UT 84405. The listed phone number is (801) 540-9556.

What is Thomas Calton's specialty?

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

Is Thomas Calton enrolled in Medicare?

Yes. Thomas Calton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Calton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Calton reassigns Medicare benefits to Utah Orthopaedics LLC (Washington Terrace, UT). The 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 Calton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Calton was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.