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STEPHEN THOMAS MD
NPI 1972575330
Emergency Medicine in Oceanside, CA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
99.51/100
CMS Quality Rating
NAVAL HOSPITAL CAMP PENDLETON, EMERGENCY DEPARTMENT, OCEANSIDE, CA 92055(619) 865-1724 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Oct 30, 2018, Oct 15, 2018 (3 updates tracked since 2018).

About Stephen Thomas Md NPPES

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

STEPHEN THOMAS MD (NPI 1972575330) is an individual emergency medicine provider in Oceanside, California, licensed in Connecticut (62040) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lowell General Hospital, and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1972575330
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSTEPHEN THOMASCredential: MD
Location AddressNAVAL HOSPITAL CAMP PENDLETON, EMERGENCY DEPARTMENTOceanside, CA 92055-5191
Mailing Address2800 Main StBridgeport, CT 06606-4201 · (475) 210-5604 · Fax (475) 210-6368
Phone(619) 865-1724
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2000
Enumeration DateFebruary 1, 2006
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1972575330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CT · 62040✔ Licensed in CA · A77076✔ Licensed in MA · 239025
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
NAVAL HOSPITAL CAMP PENDLETON, Oceanside, CA 92055
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Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7885 · Fax (508) 941-6337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Stephen 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 ID5991880320
PECOS Enrollment IDI20090623000194
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
266 services259 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
130 services128 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
85 services84 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
18 services18 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92055 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

99.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.16
Improvement Activities40

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.

DR. DANIEL JOSEPH DESANTIS MD
Internal Medicine (Cardiovascular Disease)
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE
OCEANSIDE, CA 92055
San Diego County (760) 716-4061
DR. ROBERT SETH WALL M.D.
Psychiatry & Neurology (Neurology)
NAVAL HOSPITAL CAMP PENDLETON, BUILDING H-100
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1066
TOMMY BERNARD WHITE DMD
Dentist (Prosthodontics)
NAVAL HOSPITAL CAMP PENDLETON, DENTAL DEPARTMENT
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1200
DR. PATCHO N SANTIAGO M.D.
Psychiatry & Neurology (Psychiatry)
NAVAL HOSPITAL CAMP PENDLETON, #555191
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1555
MARY PATRICIA MICHEL NP
Nurse Practitioner (Pediatrics)
NAVAL HOSPITAL CAMP PENDLETON, BUILDING H-100
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1578
DR. CHERYL L PATZER O.D.
Optometrist
NAVAL HOSPITAL CAMP PENDLETON
CAMP PENDLETON, CA 92055
San Diego County (760) 725-5912
SAMANTHA AUREY GONZALEZ DMD
Dentist (General Practice)
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (619) 922-1208
JESSICA HEROLD DO
Emergency Medicine
NAVAL HOSPITAL CAMP PENDLETON, 200 MERCY CIRCLE
CAMP PENDLETON, CA 92055
San Diego County (760) 725-1288

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 Stephen Thomas's NPI number?

The NPI number for Stephen Thomas is 1972575330. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Stephen Thomas located?

Stephen Thomas practices at Naval Hospital Camp Pendleton Emergency Department, Oceanside, CA 92055. The listed phone number is (619) 865-1724.

What is Stephen Thomas's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephen Thomas enrolled in Medicare?

Yes. Stephen 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 Stephen Thomas accept?

Health plans from WellSense Health Plan list Stephen 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 Stephen Thomas affiliated with any hospitals?

According to CMS data, Stephen Thomas is affiliated with Lowell General Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Thomas was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.