DR. THOMAS H WILLIAMS MD
NPI 1871680348
Urology in Sarasota, FL

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1 S SCHOOL AVE, SUITE 200, SARASOTA, FL 34237(941) 309-7000(941) 308-8508 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas H Williams Md NPPES

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

DR. THOMAS H WILLIAMS MD (NPI 1871680348) is an individual urology provider in Sarasota, Florida, licensed in Florida (ME0045454) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1983).

NPPES Registry Identity

NPI1871680348
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. THOMAS H WILLIAMSCredential: MD
Location Address1 S SCHOOL AVE, SUITE 200Sarasota, FL 34237-6014
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & RelationsFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(941) 308-8508
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1983
Enumeration DateOctober 6, 2006
Last NPPES UpdateApril 29, 2016
NPI 1871680348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in FL · ME0045454
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSpecialistTaxonomy 174400000X · License ME0045454 (FL)
1 S SCHOOL AVE, Sarasota, FL 34237

Other Identifiers 13

Other212202FL · Avmed
Other00261FL · Universal
Medicare PIN14186WFL
Other0187522FL · Cigna
Other4311273FL · Aetna
Medicare UPINB57632FL
Medicaid43090100FL
OtherP513699FL · Optimum
Medicare PIN25286YFL
OtherP01078299FL · Railroad Medicare
Other1193531FL · Wellcare
OtherP103667FL · Freedom Health
Medicare PIN14186VFL

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 H Williams 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 ID941112213
PECOS Enrollment IDI20100927000332
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services34 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Crushing of stone of ureter with insertion of stent using an endoscope 52356
This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.
16 services16 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34237 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims440 services$1.94 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers39 claims7,860 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers39 claims5,760 services$5.38 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers18 claims41 services$8.66 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers12 claims180 services$6.00 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims535 services$0.23 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 14

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

Plastic Surgery
1 S SCHOOL AVE
SARASOTA, FL 34237
Urology
1 S SCHOOL AVE
SARASOTA, FL 34237
Otolaryngology (Facial Plastic Surgery)
1 S SCHOOL AVE, SUITE 800
SARASOTA, FL 34237
Durable Medical Equipment & Medical Supplies
1 S SCHOOL AVE, SUITE 200
SARASOTA, FL 34237
Plastic Surgery
1 S SCHOOL AVE, SUITE 800
SARASOTA, FL 34237
Urology
1 S SCHOOL AVE, SUITE 200
SARASOTA, FL 34237
Urology
1 S SCHOOL AVE, SUITE 200
SARASOTA, FL 34237
Physician Assistant
1 S SCHOOL AVE
SARASOTA, FL 34237

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 Williams's NPI number?

The NPI number for Thomas Williams is 1871680348. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Thomas Williams located?

Thomas Williams practices at 1 S School Ave Suite 200, Sarasota, FL 34237. The listed phone number is (941) 309-7000.

What is Thomas Williams's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Williams enrolled in Medicare?

Yes. Thomas Williams 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 Williams accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Thomas Williams 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 Williams affiliated with any hospitals?

According to CMS data, Thomas Williams is affiliated with Cleveland Clinic Martin North Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Williams was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.