JOHN JOSEPH THOMAS MD
NPI 1790888790
Surgery in Martinsburg, WV

Q: What is John Thomas's NPI number?

The NPI number for John Thomas is 1790888790. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is John Thomas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for John Thomas was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 06, 2006PECOS EnrolledAccepts Medicare Assignment

2000 FOUNDATION WAY STE 2200, STE 102, MARTINSBURG, WV 25401(304) 596-6902(304) 596-6902 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John Joseph Thomas Md NPPES

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

JOHN JOSEPH THOMAS MD (NPI 1790888790) is an individual surgery provider in Martinsburg, West Virginia, licensed in West Virginia (21505) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1790888790

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJOHN JOSEPH THOMASCredential: MD

Location Address2000 FOUNDATION WAY STE 2200, STE 102Martinsburg, WV 25401-9030

Mailing Address2500 Foundation WayMartinsburg, WV 25401-9000 · (304) 264-9202 · Fax (304) 264-9042

Phone(304) 596-6902

Fax(304) 596-6902

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1994

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJanuary 8, 2015

✔ NPI 1790888790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WV · 21505

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2000 FOUNDATION WAY STE 2200, Martinsburg, WV 25401

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Other Identifiers 3

Medicare PINWV0328B987WV

Medicare UPING94895

Medicaid1811350000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

John Joseph Thomas 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 ID3577545151

PECOS Enrollment IDI20040607000570

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.

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.

98 services54 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.

52 services52 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511319

Location300 South Preston StreetRanson, WV 25438 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

Other Providers at the Same Location NPPES 4

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

JASON TURNER M.D.

Surgery

2000 FOUNDATION WAY STE 2200
MARTINSBURG, WV 25401

Berkeley County (304) 596-6900

REBECCA SHUFORD MD

Surgery

2000 FOUNDATION WAY STE 2200
MARTINSBURG, WV 25401

Berkeley County (304) 596-6900

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION

Surgery

2000 FOUNDATION WAY STE 2200
MARTINSBURG, WV 25401

Berkeley County (304) 596-6900

EAST DIVISION-SURGERY-USA

Surgery

2000 FOUNDATION WAY STE 2200
MARTINSBURG, WV 25401

Berkeley County (304) 596-6900

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 John Thomas's NPI number?

The NPI number for John Thomas is 1790888790. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is John Thomas located?

John Thomas practices at 2000 Foundation Way Ste 2200 Ste 102, Martinsburg, WV 25401. The listed phone number is (304) 596-6902.

What is John Thomas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Thomas enrolled in Medicare?

Yes. John 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.

What insurance does John Thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list John 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 John Thomas affiliated with any hospitals?

According to CMS data, John Thomas is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for John Thomas was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.