BRIAN MICHAEL THOMAS M.D.
NPI 1992948392
Internal Medicine - Hematology & Oncology in Jefferson Hills, PA

Q: What is Brian Thomas's NPI number?

The NPI number for Brian Thomas is 1992948392. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Q: What is Brian Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Brian Thomas was last updated on October 16, 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.

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment

85.56/100

CMS Quality Rating

575 COAL VALLEY RD, SUITE 400, JEFFERSON HILLS, PA 15025(412) 267-6500(412) 267-6524 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brian Michael Thomas M.d. NPPES

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

BRIAN MICHAEL THOMAS M.D. (NPI 1992948392) is an individual hematology & oncology provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (MD454310) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of University Of Minnesota Medical School (2009).

NPPES Registry Identity

NPI1992948392

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameBRIAN MICHAEL THOMASCredential: M.D.

Location Address575 COAL VALLEY RD, SUITE 400Jefferson Hills, PA 15025-3730

Mailing Address575 Coal Valley Rd, Suite 400Jefferson Hills, PA 15025-3730 · (412) 267-6500

Phone(412) 267-6500

Fax(412) 267-6524

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2009

Enumeration DateApril 14, 2009

Last NPPES UpdateOctober 16, 2020

NPPES CertifiedOctober 16, 2020

✔ NPI 1992948392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in PA · MD454310

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

575 COAL VALLEY RD, Jefferson Hills, PA 15025

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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

Brian Michael Thomas M.d. 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 ID345498556

PECOS Enrollment IDI20150817000160

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 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.

348 services201 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

246 services60 patients

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.

81 services60 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

59 services50 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

51 services38 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.

48 services45 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.

38 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

32 services12 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.

32 services20 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 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

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390050

Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County

Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390090

Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County

Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390160

Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County

Emergency services

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390265

Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County

Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number510023

Location601 Colliers WayWeirton, WV 26062 · Hancock County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15025 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

85.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.62

Promoting Interoperability

100

Improvement Activities

Cost

56.87

Referred Medical Equipment & Supplies CMS DME claims 3

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

Temozolomide, oral, 5 mg J8700

Treatment-Treatment - Miscellaneous · category RX000N

1 supplier13 claims2,407 services$0.24 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers14 claims14 services$18.89 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers11 claims11 services$12.62 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 20

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

JEFFERSON ASSOC IN INTERNAL MED

Internal Medicine

575 COAL VALLEY RD, SUITE 405
CLAIRTON, PA 15025

Allegheny County (412) 466-6161

CHET PHITAYAKORN, MD PC

Surgery (Vascular Surgery)

575 COAL VALLEY RD, SUITE 365
CLAIRTON, PA 15025

Allegheny County (412) 469-7030

HEMATOLOGY ONCOLOGY ASSOCIATION

Durable Medical Equipment & Medical Supplies

575 COAL VALLEY RD, SUITE 404
CLAIRTON, PA 15025

Allegheny County (412) 469-5500

GUILLERMO BORRERO MD

Psychiatry & Neurology (Psychiatry)

575 COAL VALLEY RD, STE 303
CLAIRTON, PA 15025

Allegheny County (412) 469-8933

WENDY WAKEFIELD

Nurse Practitioner

575 COAL VALLEY RD, SUITE EG-01
CLAIRTON, PA 15025

Allegheny County (412) 267-6255

MS. RENEE DEMARINO P.T.

Physical Therapist

575 COAL VALLEY RD, MEDICAL OFFICE BUILDING # 105
CLAIRTON, PA 15025

Allegheny County (412) 466-8811

KATHLEEN A BOWLER PHD, RNCS

Psychologist

575 COAL VALLEY RD, SUITE 203
CLAIRTON, PA 15025

Allegheny County (412) 469-8933

FRANK X STANISH MD

Ophthalmology

575 COAL VALLEY RD, SUITE 461
JEFFERSON HILLS, PA 15025

Allegheny County (412) 466-6800

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 Brian Thomas's NPI number?

The NPI number for Brian Thomas is 1992948392. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Brian Thomas located?

Brian Thomas practices at 575 Coal Valley Rd Suite 400, Jefferson Hills, PA 15025. The listed phone number is (412) 267-6500.

What is Brian Thomas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Brian Thomas enrolled in Medicare?

Yes. Brian 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.

Is Brian Thomas affiliated with any hospitals?

According to CMS data, Brian Thomas is affiliated with Allegheny General Hospital, West Penn Hospital, Canonsburg General Hospital, Jefferson Hospital and Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Brian Thomas was last updated on October 16, 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.