ANDREW JAMES THOMAS MD MPH
NPI 1871933697
Family Medicine in Cle Elum, WA

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
77.46/100
CMS Quality Rating
201 ALPHA WAY, CLE ELUM, WA 98922(509) 674-5331(509) 674-5034 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2025, Apr 14, 2021 (2 updates tracked since 2021).

About Andrew James Thomas Md Mph NPPES

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

ANDREW JAMES THOMAS MD MPH (NPI 1871933697) is an individual family medicine provider in Cle Elum, Washington, licensed in Washington (MD60799264) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2015).

NPPES Registry Identity

NPI1871933697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW JAMES THOMASCredential: MD MPH
Location Address201 ALPHA WAYCle Elum, WA 98922-1045
Mailing Address201 Alpha WayCle Elum, WA 98922-1045 · (509) 674-5331 · Fax (509) 674-5034
Fax(509) 674-5034
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2015
Enumeration DateJune 25, 2013
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
NPI 1871933697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD60799264
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.
201 ALPHA WAY, Cle Elum, WA 98922

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

Andrew James Thomas Md Mph 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 ID8820302144
PECOS Enrollment IDI20170210000628, I20180801002504
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.

Hospital Affiliations CMS Care Compare

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

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98922 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

77.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.16
Promoting Interoperability100
Improvement Activities40
Cost50.69

Reported Quality Measures

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.
95%648 patients4/55-star benchmark: 99%
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.
90%103 patients4/55-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…
66%103 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…
50%103 patients3/55-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.
35%103 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers53 claims186 services$6.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims36 services$1.21 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers105 claims105 services$18.08 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers59 claims59 services$6.18 avg. paid by Medicare
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
4 suppliers142 claims142 services$107.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims18 services$38.32 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 9

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

Family Medicine
201 ALPHA WAY
CLE ELUM, WA 98922
Physical Therapist
201 ALPHA WAY
CLE ELUM, WA 98922
Clinic/Center (Rural Health)
201 ALPHA WAY
CLE ELUM, WA 98922
Nurse Practitioner (Family)
201 ALPHA WAY
CLE ELUM, WA 98922
Family Medicine
201 ALPHA WAY
CLE ELUM, WA 98922
Physician Assistant
201 ALPHA WAY
CLE ELUM, WA 98922
Physician Assistant
201 ALPHA WAY
CLE ELUM, WA 98922
Physician Assistant
201 ALPHA WAY
CLE ELUM, WA 98922

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 Andrew Thomas's NPI number?

The NPI number for Andrew Thomas is 1871933697. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Andrew Thomas located?

Andrew Thomas practices at 201 Alpha Way, Cle Elum, WA 98922. The listed phone number is (509) 674-5331.

What is Andrew Thomas's specialty?

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

Is Andrew Thomas enrolled in Medicare?

Yes. Andrew 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 Andrew Thomas accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew 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 Andrew Thomas affiliated with any hospitals?

According to CMS data, Andrew Thomas is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Thomas was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.