KEN THOMAS M.D.
NPI 1881699015
Family Medicine in Sulphur, LA

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
622 CYPRESS ST, SULPHUR, LA 70663(337) 527-2491(337) 528-2749 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ken Thomas M.d. NPPES

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

KEN THOMAS M.D. (NPI 1881699015) is an individual family medicine provider in Sulphur, Louisiana, licensed in Louisiana (MD.200106) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2002).

NPPES Registry Identity

NPI1881699015
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEN THOMASCredential: M.D.
Location Address622 CYPRESS STSulphur, LA 70663-5052
Mailing Address622 Cypress StSulphur, LA 70663-5052 · (337) 527-2491 · Fax (337) 528-2749
Fax(337) 528-2749
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2002
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 21, 2014
NPI 1881699015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · MD.200106
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.
622 CYPRESS ST, Sulphur, LA 70663

Other Identifiers 3

Medicare PIN4J781CR82LA
Medicare UPINI36059LA
Medicaid1787159LA

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

Ken 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 ID3678502515
PECOS Enrollment IDI20050810000924
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 17

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 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.
577 services228 patients
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.
200 services114 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
189 services189 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
189 services189 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.
169 services46 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
126 services126 patients

Hospital Affiliations CMS Care Compare 2

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

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190013
Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County
Emergency services Birthing friendly

Dequincy Memorial Hospital

Critical Access Hospitals · Dequincy, LA
OwnershipProprietary
CMS Certification Number191307
Location110 West 4th StreetDequincy, LA 70633 · Calcasieu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70663 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 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
7 suppliers24 claims38 services$5.61 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$58.09 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$18.05 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$15.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims103 services$2.29 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers30 claims31 services$38.92 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 5

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

Family Medicine
622 CYPRESS ST
SULPHUR, LA 70663
Family Medicine
622 CYPRESS ST
SULPHUR, LA 70663
Family Medicine
622 CYPRESS ST
SULPHUR, LA 70663
Family Medicine
622 CYPRESS ST
SULPHUR, LA 70663
Family Medicine
622 CYPRESS ST
SULPHUR, LA 70663

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 Ken Thomas's NPI number?

The NPI number for Ken Thomas is 1881699015. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Ken Thomas located?

Ken Thomas practices at 622 Cypress St, Sulphur, LA 70663. The listed phone number is (337) 527-2491.

What is Ken Thomas's specialty?

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

Is Ken Thomas enrolled in Medicare?

Yes. Ken 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 Ken Thomas accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Ken 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 Ken Thomas affiliated with any hospitals?

According to CMS data, Ken Thomas is affiliated with West Calcasieu Cameron Hospital and Dequincy Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ken Thomas was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.