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DR. THOMAS L POULTON M.D.
NPI 1902997836
Urology in Brookings, OR

Active since September 27, 2006PECOS Enrolled
500 5TH ST, BROOKINGS, OR 97415(541) 412-2000 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2020, Jul 23, 2020, Jul 11, 2018 (3 updates tracked since 2018).

About Dr. Thomas L Poulton M.d. NPPES

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

DR. THOMAS L POULTON M.D. (NPI 1902997836) is an individual urology provider in Brookings, Oregon, licensed in Oregon (MD196953) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902997836
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. THOMAS L POULTONCredential: M.D.
Location Address500 5TH STBrookings, OR 97415-9702
Mailing Address94220 4th StGold Beach, OR 97444-7756 · (541) 247-3910 · Fax (541) 247-3109
Phone(541) 412-2000
Sole ProprietorNo
Enumeration DateSeptember 27, 2006
Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2020
✔ NPI 1902997836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in OR · MD196953✔ Licensed in WA · MD 602 15304
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
500 5TH ST, Brookings, OR 97415
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1314 Martin Luther King Jr Way, Suite 208Tacoma, WA 98405-4250 · Phone (253) 503-1273 · Fax (253) 507-8854
Location 294220 4th StGold Beach, OR 97444-7756 · Phone (541) 247-3910

Other Identifiers 2

Other1487696985OR · Curry General Hospital Npi
MedicaidR217930OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas L Poulton M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Thomas Poulton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Maine Medical Center
2,709 mi
Critical Access
194 EAST MAIN STREET
Fort Kent, ME 04743
  • Reassigned Medicare billing, Maine enrollment
  • 121 clinicians in this Medicare group
NPI 1568465144 (207) 834-3155

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97415 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers15 claims3,480 services$1.63 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers12 claims32 services$9.38 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.

LACY ANN WOODS OTR/L
Occupational Therapist
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
TIFFANIE NEWMAN
Occupational Therapist
500 5TH ST
BROOKINGS, OR 97415
Curry County (888) 873-4221
HANNAH LOUISE HUGHEY FNP
Family Medicine
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
RACHEL WATKINS PTA
Physical Therapy Assistant
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
BREANA ERICKSON
Speech-Language Pathologist
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 247-3070
DR. ALEXA HANSON LAHTI OTD
Occupational Therapist
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000
OLIVIA ANN DEITERING
Physical Therapy Assistant
500 5TH ST
BROOKINGS, OR 97415
Curry County (419) 788-4247
STEPHEN W SHEA D.O.
Orthopaedic Surgery
500 5TH ST
BROOKINGS, OR 97415
Curry County (541) 412-2000

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 Thomas Poulton's NPI number?

The NPI number for Thomas Poulton is 1902997836. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Thomas Poulton located?

Thomas Poulton practices at 500 5th St, Brookings, OR 97415. The listed phone number is (541) 412-2000.

What is Thomas Poulton's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Poulton enrolled in Medicare?

Yes. Thomas Poulton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Thomas Poulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Poulton reassigns Medicare benefits to Northern Maine Medical Center (Fort Kent, ME). 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 Thomas Poulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Poulton was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.