THOMAS ENCE M.D.
NPI 1821418559
Emergency Medicine in Brawley, CA

Q: What is Thomas Ence's NPI number?

The NPI number for Thomas Ence is 1821418559. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Q: What is Thomas Ence's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Ence was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 21, 2014PECOS EnrolledAccepts Medicare Assignment

94.62/100

CMS Quality Rating

207 W LEGION RD, BRAWLEY, CA 92227(760) 351-3333(760) 351-4489 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 29, 2018, Oct 18, 2017 (2 updates tracked since 2017).

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About Thomas Ence M.d. NPPES

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

THOMAS ENCE M.D. (NPI 1821418559) is an individual emergency medicine provider in Brawley, California, licensed in California (A137679) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2014).

NPPES Registry Identity

NPI1821418559

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTHOMAS ENCECredential: M.D.

Location Address207 W LEGION RDBrawley, CA 92227

Mailing Address8636 Butte StLa Mesa, CA 91941-6659 · (801) 592-0342

Phone(760) 351-3333

Fax(760) 351-4489

Sole ProprietorNo

Medical School CMSBaylor College Of MedicineGraduated 2014

Enumeration DateApril 21, 2014

Last NPPES UpdateJune 29, 20182 updates tracked since enumeration

✔ NPI 1821418559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A137679

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

207 W LEGION RD, Brawley, CA 92227

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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 Ence M.d. 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 ID6709178619

PECOS Enrollment IDI20170614000130

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

308 services303 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

210 services195 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

90 services88 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.

55 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92227 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

$90.40 typical visit price

range $58.90 – $176.72

Typical copayment $22.60 (range $14.72 – $44.18)

Most-billed visit code 99203

Established Patient

$103.42 typical visit price

range $19.28 – $144.68

Typical copayment $25.85 (range $4.82 – $36.17)

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.

94.62/100

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

Scored as part of a group practice

Quality

76.67

Improvement Activities

Cost

97.14

Referred Medical Equipment & Supplies CMS DME claims

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

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

DME-Other DME · category DE000N

2 suppliers12 claims12 services$26.03 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.

MR. MARSHALL RAY DEBRULER P.A.-C

Physician Assistant