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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.

THOMAS LEWIS KINCHELOE IV DO
NPI 1962908004
Neuromusculoskeletal Medicine & OMM in Kennewick, WA

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
91.06/100
CMS Quality Rating
8905 W GAGE BLVD STE 100, KENNEWICK, WA 99336(509) 579-4300(509) 317-9542 Get Directions Write a Review

NPPES record last updated: September 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 14, 2026, Apr 23, 2026, Aug 13, 2025 and 3 more (6 updates tracked since 2019).

About Thomas Lewis Kincheloe Iv Do NPPES

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

THOMAS LEWIS KINCHELOE IV DO (NPI 1962908004) is an individual neuromusculoskeletal medicine & omm provider in Kennewick, Washington, licensed in Washington (OP61377812) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Yakima, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1962908004
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameTHOMAS LEWIS KINCHELOE IVCredential: DO
Location Address8905 W GAGE BLVD STE 100Kennewick, WA 99336-7191
Mailing Address8905 W Gage Blvd Ste 100Kennewick, WA 99336-7191 · (509) 579-4300 · Fax (509) 317-9542
Phone(509) 579-4300
Fax(509) 317-9542
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateSeptember 14, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2026
✔ NPI 1962908004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
Licenses✔ Licensed in WA · OP61377812✔ Licensed in OR · DO202194
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License OP61377812 (WA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8905 W GAGE BLVD STE 100, Kennewick, WA 99336
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Secondary Practice Location 1

Location 11806 W Lincoln AveYakima, WA 98902-2473 · Phone (509) 452-4520 · Fax (509) 452-5224

Other Identifiers 2

Other0531087WA · Labor And Industries
Medicaid2269070WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Thomas Lewis Kincheloe Iv 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 ID5294134912
PECOS Enrollment IDI20231211001983
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 Reassignments

4

Medicare enrollment records show Thomas Kincheloe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Of Central Washington
66 mi
Federally Qualified Health Center (FQHC)
501 S 5TH AVE
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 150 clinicians in this Medicare group
NPI 1598764920 (509) 494-6700
Restore Health & Pain Treatment Group PLLC
132 mi
Pain Medicine
1601 N DIVISION ST
Spokane, WA 99207
  • Reassigned Medicare billing, Washington enrollment
  • 3 clinicians in this Medicare group
NPI 1124709290 (509) 824-6080
Oregon Healthcare Resources, LLC
240 mi
Urgent Care
600 COUNTRY CLUB RD STE 100
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 248 clinicians in this Medicare group
NPI 1215761002 (541) 463-2390
Signify Health Medical Associates, PLLC
1,498 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Washington enrollment
  • 317 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
171 services15 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
170 services28 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.
107 services44 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.
66 services46 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
51 services26 patients
Osteopathic manipulative treatment, 5-6 body regions 98927
Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.
45 services24 patients

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.

91.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.23
Promoting Interoperability100
Improvement Activities40
Cost75.99

Other Providers at the Same Location NPPES

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

TRI-CITIES REGENERATIVE INSTITUTE
Physical Medicine & Rehabilitation (Sports Medicine)
8905 W GAGE BLVD STE 100
KENNEWICK, WA 99336
Benton County (509) 579-4300

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 Kincheloe's NPI number?

The NPI number for Thomas Kincheloe is 1962908004. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Thomas Kincheloe located?

Thomas Kincheloe practices at 8905 W Gage Blvd Ste 100, Kennewick, WA 99336. The listed phone number is (509) 579-4300.

What is Thomas Kincheloe's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Is Thomas Kincheloe enrolled in Medicare?

Yes. Thomas Kincheloe 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 organizations bill Medicare for Thomas Kincheloe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kincheloe reassigns Medicare benefits to 4 organizations: Community Health Of Central Washington (Yakima, WA), Restore Health & Pain Treatment Group PLLC (Spokane, WA), Oregon Healthcare Resources, LLC (Eugene, OR) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Kincheloe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kincheloe accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Kincheloe 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.

When was this NPI record last updated?

The NPPES record for Thomas Kincheloe was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 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.