DR. THOMAS G PADANILAM M.D.
NPI 1861489122
Orthopaedic Surgery - Foot and Ankle Surgery in Toledo, OH

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
2865 N REYNOLDS RD, BUILDING A, TOLEDO, OH 43615(419) 578-7200 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2023, Dec 18, 2020, Jan 6, 2020 (3 updates tracked since 2020).

About Dr. Thomas G Padanilam M.d. NPPES

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

DR. THOMAS G PADANILAM M.D. (NPI 1861489122) is an individual foot and ankle surgery provider in Toledo, Ohio, licensed in Ohio (35072139) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of University Of Toledo College Of Medicine (1991).

NPPES Registry Identity

NPI1861489122
Entity TypeIndividualMale
Primary Taxonomy207XX0004X
Provider Legal NameDR. THOMAS G PADANILAMCredential: M.D.
Location Address2865 N REYNOLDS RD, BUILDING AToledo, OH 43615-2068
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · (419) 578-7200 · Fax (419) 537-5600
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1991
Enumeration DateOctober 3, 2005
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1861489122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License Licensed in OH · 35072139
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35072139 (OH)
2865 N REYNOLDS RD, Toledo, OH 43615

Other Identifiers 1

Medicaid2018159OH

Accepted 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

Dr. Thomas G Padanilam 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 ID547166902
PECOS Enrollment IDI20040121001009
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 16

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.
643 services360 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.
553 services74 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
431 services240 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
213 services137 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.
125 services125 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
96 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

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

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
3%36 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
56%4,613 patients1/55-star benchmark: 100%
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.
86%159 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
29%640 patients2/55-star benchmark: 99%
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.
84%395 patients3/55-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.
55%887 patients3/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%1,763 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 69% · 1,479 patients
Patients tobacco: 61% · 1,479 patients
4%117 patients1/55-star benchmark: 98%
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…
57%887 patients3/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 640 patients
0%640 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114
DME-Other DME · category DE000N
1 supplier14 claims14 services$40.10 avg. paid by Medicare
Ankle foot orthosis, plastic with ankle joint, custom fabricated L1970
DME-Orthotic Devices · category DF003N
2 suppliers14 claims14 services$543.72 avg. paid by Medicare
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275
DME-Orthotic Devices · category DF000N
3 suppliers21 claims22 services$105.01 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
4 suppliers13 claims16 services$67.60 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers45 claims45 services$215.06 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.

Orthopaedic Surgery (Hand Surgery)
2865 N REYNOLDS RD, BUILDING A
TOLEDO, OH 43615
Orthopaedic Surgery
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Orthopaedic Surgery (Sports Medicine)
2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615
Ophthalmology (Retina Specialist)
2865 N REYNOLDS RD, SUITE 230
TOLEDO, OH 43615
Clinic/Center (Ambulatory Surgical)
2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615
Audiologist
2865 N REYNOLDS RD, 120
TOLEDO, OH 43615
Specialist/Technologist (Athletic Trainer)
2865 N REYNOLDS RD, STE. 110
TOLEDO, OH 43615

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 Padanilam's NPI number?

The NPI number for Thomas Padanilam is 1861489122. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Thomas Padanilam located?

Thomas Padanilam practices at 2865 N Reynolds Rd Building A, Toledo, OH 43615. The listed phone number is (419) 578-7200.

What is Thomas Padanilam's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is Thomas Padanilam enrolled in Medicare?

Yes. Thomas Padanilam 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 Thomas Padanilam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Thomas Padanilam 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 Thomas Padanilam affiliated with any hospitals?

According to CMS data, Thomas Padanilam is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Toledo Hospital, Mercy St Vincent Medical Center, Bay Park Community Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Thomas Padanilam was last updated on November 3, 2023. 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.