DR. THOMAS W BIGGS II DO
NPI 1932188224
Ophthalmology in Clarkston, MI

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
63.16/100
CMS Quality Rating
5825 S MAIN ST, STE 100, CLARKSTON, MI 48346(248) 620-3000(248) 620-0110 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas W Biggs Ii Do NPPES

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

DR. THOMAS W BIGGS II DO (NPI 1932188224) is an individual ophthalmology provider in Clarkston, Michigan, licensed in Michigan (5101010245) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and is a graduate of Michigan State University College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1932188224
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS W BIGGS IICredential: DO
Location Address5825 S MAIN ST, STE 100Clarkston, MI 48346-2983
Mailing Address5825 S Main St, Ste 100Clarkston, MI 48346-2983 · (248) 620-3000 · Fax (248) 620-0110
Fax(248) 620-0110
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1988
Enumeration DateJanuary 13, 2006
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
NPI 1932188224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 5101010245
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5825 S MAIN ST, Clarkston, MI 48346

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

Dr. Thomas W Biggs Ii Do 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 ID840394169
PECOS Enrollment IDI20070327000161
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
563 services497 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
432 services367 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
228 services114 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
157 services70 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
152 services82 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
147 services134 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

63.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.48
Promoting Interoperability0
Improvement Activities40
Cost68.06

Referred Medical Equipment & Supplies CMS DME claims

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers15 claims15 services$57.13 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 10

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

Physical Therapist
5825 S MAIN ST, SUITE 103
CLARKSTON, MI 48346
Ophthalmology
5825 S MAIN ST, SUITE 100
CLARKSTON, MI 48346
Allergy & Immunology (Allergy)
5825 S MAIN ST, SUITE 203
CLARKSTON, MI 48346
Optometrist
5825 S MAIN ST, SUITE 100
CLARKSTON, MI 48346
Dentist (Orthodontics and Dentofacial Orthopedics)
5825 S MAIN ST, SUITE 201
CLARKSTON, MI 48346
Dentist (Orthodontics and Dentofacial Orthopedics)
5825 S MAIN ST, SUITE 201
CLARKSTON, MI 48346
Dentist (Orthodontics and Dentofacial Orthopedics)
5825 S MAIN ST
CLARKSTON, MI 48346
Ophthalmology
5825 S MAIN ST, SUITE 100
CLARKSTON, MI 48346

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 Biggs's NPI number?

The NPI number for Thomas Biggs is 1932188224. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Thomas Biggs located?

Thomas Biggs practices at 5825 S Main St Ste 100, Clarkston, MI 48346. The listed phone number is (248) 620-3000.

What is Thomas Biggs's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Thomas Biggs enrolled in Medicare?

Yes. Thomas Biggs 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 Thomas Biggs accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 6 other insurers list Thomas Biggs 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 Thomas Biggs affiliated with any hospitals?

According to CMS data, Thomas Biggs is affiliated with Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Thomas Biggs was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.