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PRATHIBHA ANN THOMAS M.D.
NPI 1851657340
Family Medicine in Missouri City, TX

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
8330 HIGHWAY 6 STE 100, MISSOURI CITY, TX 77459(281) 276-0653(281) 276-0691 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2024, Nov 24, 2015 (2 updates tracked since 2015).

About Prathibha Ann Thomas M.d. NPPES

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

PRATHIBHA ANN THOMAS M.D. (NPI 1851657340) is an individual family medicine provider in Missouri City, Texas, licensed in Texas (Q2714) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1851657340
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRATHIBHA ANN THOMASCredential: M.D.
Location Address8330 HIGHWAY 6 STE 100Missouri City, TX 77459-5148
Mailing Address8330 Highway 6 Ste 100Missouri City, TX 77459-5148 · (281) 276-0653 · Fax (281) 276-0691
Phone(281) 276-0653
Fax(281) 276-0691
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 9, 2012
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1851657340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · Q2714
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8330 HIGHWAY 6 STE 100, Missouri City, TX 77459
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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

Prathibha Ann Thomas 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 ID7416261193
PECOS Enrollment IDI20150810000626
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 6

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.
139 services91 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.
68 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 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.
21 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77459 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier12 claims12 services$56.79 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
1 supplier12 claims12 services$25.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Prathibha Thomas's NPI number?

The NPI number for Prathibha Thomas is 1851657340. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Prathibha Thomas located?

Prathibha Thomas practices at 8330 Highway 6 Ste 100, Missouri City, TX 77459. The listed phone number is (281) 276-0653.

What is Prathibha Thomas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Prathibha Thomas enrolled in Medicare?

Yes. Prathibha 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 Prathibha Thomas accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Prathibha 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 Prathibha Thomas affiliated with any hospitals?

According to CMS data, Prathibha Thomas is affiliated with Houston Methodist Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Prathibha Thomas was last updated on April 3, 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.