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MRS. DIANE SUE THOMAS M.D.
NPI 1861458374
Pediatrics in Lebanon, KY

Active since April 24, 2006PECOS Enrolled
311 W HIGH ST, LEBANON, KY 40033(270) 692-5811(270) 692-3863 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2020, Jul 24, 2018, Jul 2, 2018 and 1 more (4 updates tracked since 2017).

About Mrs. Diane Sue Thomas M.d. NPPES

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

MRS. DIANE SUE THOMAS M.D. (NPI 1861458374) is an individual pediatrics provider in Lebanon, Kentucky, licensed in Kentucky (32504) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861458374
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMRS. DIANE SUE THOMASCredential: M.D.
Location Address311 W HIGH STLebanon, KY 40033
Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 858-6655 · Fax (270) 858-4607
Phone(270) 692-5811
Fax(270) 692-3863
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateDecember 15, 20204 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1861458374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in KY · 32504
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 32504 (KY)
311 W HIGH ST, Lebanon, KY 40033
Open in Google Maps ↗

Other Identifiers 1

Medicaid64325046KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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 (PECOS)

Mrs. Diane Sue Thomas 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40033 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
2%123 patients1/55-star benchmark: 95%
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.
97%2,208 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
8%133 patients1/55-star benchmark: 88%
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%115 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.
19%1,336 patients1/55-star benchmark: 97%
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…
62%1,336 patients3/55-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…
4%1,336 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%1,336 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 0% · 961 patients
Patients physicalActivity: 0% · 961 patients
81%961 patients
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.

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.

LEBANON PEDIATRICS LLC
Nurse Practitioner
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-5811
TAMMY L ABEL LCSW
Social Worker (Clinical)
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-2774
LEBANON PEDIATRICS, LLC
Pediatrics
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-5811
CHRISTA D WALTERS APRN
Nurse Practitioner (Family)
311 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-2774

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 Diane Thomas's NPI number?

The NPI number for Diane Thomas is 1861458374. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Diane Thomas located?

Diane Thomas practices at 311 W High St, Lebanon, KY 40033. The listed phone number is (270) 692-5811.

What is Diane Thomas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Diane Thomas enrolled in Medicare?

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

What insurance does Diane Thomas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Diane 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.

When was this NPI record last updated?

The NPPES record for Diane Thomas was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.