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COLIN THOMAS M.D.
NPI 1871957159
Internal Medicine in Philadelphia, PA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
833 CHESTNUT ST, SUITE 220, PHILADELPHIA, PA 19107(215) 955-8465 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Colin Thomas M.d. NPPES

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

COLIN THOMAS M.D. (NPI 1871957159) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD467912) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Temple University School Of Medicine (2016).

NPPES Registry Identity

NPI1871957159
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCOLIN THOMASCredential: M.D.
Location Address833 CHESTNUT ST, SUITE 220Philadelphia, PA 19107-4414
Mailing Address833 Chestnut St, Suite 220Philadelphia, PA 19107-4414
Phone(215) 955-8465
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateJuly 9, 2019
✔ NPI 1871957159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD467912
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
833 CHESTNUT ST, Philadelphia, PA 19107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colin 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 ID9234410655
PECOS Enrollment IDI20190827000607
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.

Medicare Billing Reassignment

Medicare enrollment records show Colin Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
2.1 mi
Hematology & Oncology
3400 CIVIC CENTER BLVD, 2ND FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 373 clinicians in this Medicare group
NPI 1679677975 (215) 615-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
126 services43 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
64 services27 patients
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.
53 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

DR. JOHN W. CARUSO M.D.
Internal Medicine
833 CHESTNUT ST, SUITE 220
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8465
MARY E BADURA M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (800) 326-7002
MS. ETHEL MARIE CLAIRE JOLICOEUR M.SC., M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 873-2083
VINCENZO BERGHELLA MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT ST, 1ST FLOOR
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
DR. VICTOR A. DIAZ JR. M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6539
DR. MARC J. ALTSHULER M.D.
Family Medicine
833 CHESTNUT ST, SUITE 301
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7190
DONA CHEN M.D.
Pediatrics
833 CHESTNUT ST
PHILADELPHIA, PA 19107
Philadelphia County (302) 651-4200
MS. CHRISTINA SUZANNE GIATROPOULOS M.S.
Genetic Counselor, MS
833 CHESTNUT ST, SUITE 1250
PHILADELPHIA, PA 19107
Philadelphia County (215) 351-2331

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 Colin Thomas's NPI number?

The NPI number for Colin Thomas is 1871957159. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Colin Thomas located?

Colin Thomas practices at 833 Chestnut St Suite 220, Philadelphia, PA 19107. The listed phone number is (215) 955-8465.

What is Colin Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Colin Thomas enrolled in Medicare?

Yes. Colin 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.

Which organization bills Medicare for Colin Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Thomas reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Colin Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colin Thomas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Colin 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 Colin Thomas affiliated with any hospitals?

According to CMS data, Colin Thomas is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital, Doylestown Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Colin Thomas was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.