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WAYNE ERIC THOMAS M.D.
NPI 1881688968
Family Medicine in Decatur, AL

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment
2828 HIGHWAY 31 S, SUITE 109, DECATUR, AL 35603(256) 351-1591(256) 351-1596 Get Directions Write a Review

NPPES record last updated: January 24, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wayne Eric Thomas M.d. NPPES

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

WAYNE ERIC THOMAS M.D. (NPI 1881688968) is an individual family medicine provider in Decatur, Alabama, licensed in Alabama (00014586) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1986).

NPPES Registry Identity

NPI1881688968
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWAYNE ERIC THOMASCredential: M.D.
Location Address2828 HIGHWAY 31 S, SUITE 109Decatur, AL 35603-1510
Mailing Address2828 Highway 31 S, Suite 109Decatur, AL 35603-1510 · (256) 351-1591
Phone(256) 351-1591
Fax(256) 351-1596
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1986
Enumeration DateSeptember 6, 2005
Last NPPES UpdateJanuary 24, 2008
✔ NPI 1881688968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00014586
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.
2828 HIGHWAY 31 S, Decatur, AL 35603
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Other Identifiers 5

Medicare ID-Type Unspecified19709
Other63-1004625Commercial
Medicare UPINE20869
Other51019709AL · Blue Cross
Medicaid000019709AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Wayne Eric 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 ID8921182551
PECOS Enrollment IDI20080221000082
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 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 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.
175 services79 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services60 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
26 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35603 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
5 suppliers17 claims40 services$5.93 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers11 claims2,921 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers18 claims18 services$16.29 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.

DR. STEPHEN ALAN BRANNING M.D.
Internal Medicine
2828 HIGHWAY 31 S, SUITE 110
DECATUR, AL 35603
Morgan County (256) 350-9417
NRD MD LLC
Anesthesiology
2828 HIGHWAY 31 S
DECATUR, AL 35603
Morgan County (256) 350-4855
DR. RODNEY WAYNE HARNEY M.D.
Family Medicine
2828 HIGHWAY 31 S, SUITE 102
DECATUR, AL 35603
Morgan County (256) 351-9382
NEW LIFE FAMILY CHIROPRACTIC, PC
Chiropractor
2828 HIGHWAY 31 S, SUITE 104
DECATUR, AL 35603
Morgan County (256) 301-0110
DECATUR FAMILY PHARMACY
Pharmacy (Community/Retail Pharmacy)
2828 HIGHWAY 31 S
DECATUR, AL 35603
Morgan County (256) 822-2176
P J M REDDY MD
Internal Medicine
2828 HIGHWAY 31 S, SUITE 101
DECATUR, AL 35603
Morgan County (256) 309-5627
DIGESTIVE DISEASES ASSOCIATES
Internal Medicine (Gastroenterology)
2828 HIGHWAY 31 S
DECATUR, AL 35603
Morgan County (571) 221-0404
DEBRA BROWN PHILLIPS CRNP
Nurse Practitioner (Acute Care)
2828 HIGHWAY 31 S
DECATUR, AL 35603
Morgan County (256) 353-2000

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 Wayne Thomas's NPI number?

The NPI number for Wayne Thomas is 1881688968. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Wayne Thomas located?

Wayne Thomas practices at 2828 Highway 31 S Suite 109, Decatur, AL 35603. The listed phone number is (256) 351-1591.

What is Wayne Thomas's specialty?

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

Is Wayne Thomas enrolled in Medicare?

Yes. Wayne 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 Wayne Thomas accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Wayne 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 Wayne Thomas was last updated on January 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.