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SANJAY M THOMAS MD
NPI 1902877822
Surgery in Poughkeepsie, NY

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
21 READE PL, SUITE 3100, POUGHKEEPSIE, NY 12601(845) 214-1800(845) 214-1818 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sanjay M Thomas Md NPPES

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

SANJAY M THOMAS MD (NPI 1902877822) is an individual surgery provider in Poughkeepsie, New York, licensed in New York (241735) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Albany Medical College Of Union University (2003).

NPPES Registry Identity

NPI1902877822
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSANJAY M THOMASCredential: MD
Location Address21 READE PL, SUITE 3100Poughkeepsie, NY 12601-3912
Mailing Address1351 Route 55, Suite 200Lagrangeville, NY 12540-5108 · (845) 475-9661
Phone(845) 214-1800
Fax(845) 214-1818
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2003
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 18, 2013
✔ NPI 1902877822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 241735
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 241735 (NY)
21 READE PL, Poughkeepsie, NY 12601
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Other Identifiers 3

Medicare ID-Type Unspecified243505606
Medicare UPINI25372
Medicaid200045450AOK

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

Sanjay M Thomas 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 ID7618925629
PECOS Enrollment IDI20070615000125
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 Sanjay Thomas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nuvance Health Medical Practice PC
0.1 mi
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1437358033 (845) 475-9661

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 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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
45 services45 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.
33 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 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.
24 services23 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.
22 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
23%231 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
85%40 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,256 patients5/55-star benchmark: 100%
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.
72%47 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
13%160 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%660 patients5/55-star benchmark: 100%
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.
17%683 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
20%160 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%652 patients2/55-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…
68%683 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…
22%683 patients2/55-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.
12%683 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.

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.

NUVANCE HEALTH MEDICAL PRACTICE, PC
Internal Medicine (Medical Oncology)
21 READE PL, 2ND FLOOR
POUGHKEEPSIE, NY 12601
Dutchess County (845) 214-1840
NUVANCE HEALTH MEDICAL PRACTICE, PC
Internal Medicine (Pulmonary Disease)
21 READE PL, SUITE 1000
POUGHKEEPSIE, NY 12601
Dutchess County (845) 214-1880
MARK D VERY MD
Otolaryngology
21 READE PL, 3RD FLOOR - SUITE 3200
POUGHKEEPSIE, NY 12601
Dutchess County (845) 204-6125
NUVANCE HEALTH MEDICAL PRACTICE, PC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
21 READE PL, SUITE 1000
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-6800
HUDSON VALLEY EYE SURGEONS AT VBMC LLC
Ophthalmology
21 READE PL, SUITE 1100
POUGHKEEPSIE, NY 12601
Dutchess County (845) 475-9616
SPECIALTY FITTINGS, INC.
Prosthetic/Orthotic Supplier
21 READE PL, FL 2
POUGHKEEPSIE, NY 12601
Dutchess County (845) 214-1850
JESSICA HALVORSEN
Nurse Practitioner (Family)
21 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-8855
HEALTH QUEST MEDICAO PRACTICE, PC
Surgery (Trauma Surgery)
21 READE PL, SUITE 3100
POUGHKEEPSIE, NY 12601
Dutchess County (845) 214-1800

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 Sanjay Thomas's NPI number?

The NPI number for Sanjay Thomas is 1902877822. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Sanjay Thomas located?

Sanjay Thomas practices at 21 Reade Pl Suite 3100, Poughkeepsie, NY 12601. The listed phone number is (845) 214-1800.

What is Sanjay Thomas's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sanjay Thomas enrolled in Medicare?

Yes. Sanjay 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 Sanjay Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Thomas reassigns Medicare benefits to Nuvance Health Medical Practice PC (Poughkeepsie, NY). 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 Sanjay Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sanjay Thomas affiliated with any hospitals?

According to CMS data, Sanjay Thomas is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Thomas was last updated on July 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.