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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ANDREW THOMAS MBBS
NPI 1922686013
Hospitalist in Newburyport, MA

Active since March 30, 2021PECOS Enrolled
25 HIGHLAND AVE, NEWBURYPORT, MA 01950(978) 463-1000 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2026, Jul 13, 2026, Jun 26, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Andrew Thomas Mbbs NPPES

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

DR. ANDREW THOMAS MBBS (NPI 1922686013) is an individual hospitalist provider in Newburyport, Massachusetts, licensed in Massachusetts (1027925) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922686013
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. ANDREW THOMASCredential: MBBS
Location Address25 HIGHLAND AVENewburyport, MA 01950-3867
Mailing AddressPo Box 24532New York, NY 10087-4532 · (781) 744-8771
Phone(978) 463-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 30, 2021
Last NPPES UpdateAugust 4, 20265 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1922686013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MA · 1027925✔ Licensed in WI · 14957
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036.169890 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
25 HIGHLAND AVE, Newburyport, MA 01950
Open in Google Maps ↗

Secondary Practice Locations 2

Location 145 Reade PlPoughkeepsie, NY 12601-3947 · Phone (845) 454-8500
Location 21000 Mineral Point AveJanesville, WI 53548-2940 · Phone (608) 756-6868

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. Andrew Thomas Mbbs 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 ID941740575
PECOS Enrollment IDI20240910004088, I20250726000054, I20260204000853
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 5

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.

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.
146 services65 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
53 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services18 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

JOHN MCLAULIN M.D.
Emergency Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1050
DR. JESSICA LEE HEATH MD
Anesthesiology
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (603) 660-4578
DR. BETHANY A BISHOP DANIELS M.D.
Emergency Medicine
25 HIGHLAND AVE, ANNA JAQUES HOSPITAL- EMERGENCY DEPT
NEWBURYPORT, MA 01950
Essex County (978) 463-1050
BROOKE ELWELL PA-C
Physician Assistant
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1000
ELIZABETH ANN PESCOSOLIDO
Nurse Anesthetist, Certified Registered
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (603) 969-4606
MRS. TRACY J WILBRAHAM NP
Nurse Practitioner (Psychiatric/Mental Health)
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (617) 362-6848
DR. MICHELLE R LAFLAMME D.O.
Emergency Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1050
ASMA UL HOSNA MD
Internal Medicine
25 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 463-1000

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 Andrew Thomas's NPI number?

The NPI number for Andrew Thomas is 1922686013. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Andrew Thomas located?

Andrew Thomas practices at 25 Highland Ave, Newburyport, MA 01950. The listed phone number is (978) 463-1000.

What is Andrew Thomas's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrew Thomas enrolled in Medicare?

Yes. Andrew 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 Andrew Thomas accept?

Health plans from Medica list Andrew 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 Andrew Thomas affiliated with any hospitals?

According to CMS data, Andrew Thomas is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Harrisburg Medical Center and Southeast Iowa Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Thomas was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.