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DR. THOMAS S MICHELSON MD
NPI 1992794838
Ophthalmology in Wheaton, IL

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2015 N MAIN ST, WHEATON, IL 60187(630) 668-8250(630) 668-8916 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas S Michelson Md NPPES

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

DR. THOMAS S MICHELSON MD (NPI 1992794838) is an individual ophthalmology provider in Wheaton, Illinois, licensed in Illinois (036-084317) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1989).

NPPES Registry Identity

NPI1992794838
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS S MICHELSONCredential: MD
Location Address2015 N MAIN STWheaton, IL 60187-3152
Mailing Address2015 N Main StWheaton, IL 60187-3152 · (630) 668-8250 · Fax (630) 668-8916
Phone(630) 668-8250
Fax(630) 668-8916
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1989
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1992794838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in IL · 036-084317
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.
2015 N MAIN ST, Wheaton, IL 60187
Open in Google Maps ↗

Other Identifiers 2

Other180014830IL · Rr Medicare
Medicaid036084317IL

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 S Michelson 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 ID648253732
PECOS Enrollment IDI20100422001043
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 9

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.
2,351 services2,316 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.
333 services330 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
309 services306 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
306 services306 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.
270 services267 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
247 services210 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%113 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. SUSAN J ANDERSON-NELSON M.D.
Ophthalmology (Retina Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
DR. ANN E CLARK O.D.
Optometrist
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
FRINI A. MAKADIA M.D.
Ophthalmology (Glaucoma Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
DR. GREGORY LUCIEN FENTON M.D.
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
JEREMY B WINGARD MD
Ophthalmology (Glaucoma Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
DR. CAROLYN S OESTERLE M.D.
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
NOHA S EKDAWI M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250
DR. RICHARD G GIESER M.D.
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Dupage County (630) 668-8250

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 Michelson's NPI number?

The NPI number for Thomas Michelson is 1992794838. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Thomas Michelson located?

Thomas Michelson practices at 2015 N Main St, Wheaton, IL 60187. The listed phone number is (630) 668-8250.

What is Thomas Michelson's specialty?

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

Is Thomas Michelson enrolled in Medicare?

Yes. Thomas Michelson 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.

Is Thomas Michelson affiliated with any hospitals?

According to CMS data, Thomas Michelson is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Michelson was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.