THOMAS C GUNBY MD
NPI 1144243668
Hospitalist in Seattle, WA

NPI Status: Active since July 25, 2006

Contact Information

1100 9TH AVE
SEATTLE, WA
ZIP 98101
Phone: (206) 223-6600

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  • Individual
  • Male
  • Years of Experience 46
  • Hospitalist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About THOMAS GUNBY

This page provides the complete NPI Profile along with additional information for Thomas Gunby, a provider established in Seattle, Washington with a medical specialization in Hospitalist and more than 46 years of experience. He graduated from University Of Washington School Of Medicine in 1980. The healthcare provider is registered in the NPI registry with number 1144243668 assigned on July 2006. The practitioner's primary taxonomy code is 208M00000X with license number MD00022614 (WA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1144243668
Provider Name
THOMAS C GUNBY MD
Gender
Male
Entity Type
Individual
Location Address
1100 9TH AVE SEATTLE, WA 98101
Location Phone
(206) 223-6600
Mailing Address
1100 9TH AVE MS M4-PA SEATTLE, WA 98101
Mailing Phone
(206) 583-6025
Mailing Fax
Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year
1980
Is Sole Proprietor?
No
Enumeration Date
07-25-2006
Last Update Date
03-17-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00022614
License State
WA
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

MD00022614 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8894145OTHER (01)WAMEDICARE PTAN
110089002OTHER (01)RAILROAD MEDICARE
US0899657OTHER (01)WAAETNA/USHC PCP
GU5021OTHER (01)WABLUE SHIELD
0039581OTHER (01)WALABOR & INDUSTRY
8894144OTHER (01)WAMEDICARE PTAN
1001569MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Thomas Gunby is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Thomas Gunby is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7618931924

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20041116001225

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Extended patient service without direct patient contact, first hour

Extended patient service without direct contact refers to a healthcare service where professionals spend time reviewing your health records, consulting with other providers, or planning your care without you being present, for the first hour.

This service was performed 15 times for 14 patients

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 106 times for 45 patients

Follow-up hospital inpatient care per day, typically 35 minutes

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.

This service was performed 478 times for 185 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 88 times for 88 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $35.94 for a new patient copayment and $27.75 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98101 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $143.76
  • Minimum New Patient Price $63.67
  • Maximum New Patient Price $189.37
  • Average New Patient Copayment $35.94
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111
  • Minimum Established Patient Price $21.12
  • Maximum Established Patient Price $155
  • Average Established Patient Copayment $27.75
  • Minimum Established Patient Copayment $5.28
  • Maximum Established Patient Copayment $38.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Thomas Gunby is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
VIRGINIA MASON MEDICAL CENTER925 SENECA ST
SEATTLE, WA 98101
(206) 223-6600Acute Care Hospitals

Reviews for THOMAS C GUNBY MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144243668
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184446612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 4 + 4 + 6 + 6 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1144243668 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770585002MS. CAROLYN A SEARLES ARNP
Individual
Nurse Practitioner (Women's Health)1100 9TH AVE C6-GS
SEATTLE, WA 98101
(206) 625-7373
1740287275 PAUL G KASSAB MD
Individual
Internal Medicine1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6395
1750377446 NANETTE G ROBINSON MD
Individual
Internal Medicine (Hematology & Oncology)1100 9TH AVE PO BOX: 900
SEATTLE, WA 98101
(206) 223-6193
1497737803DR. MICHAEL SUTTERS M.D.
Individual
Internal Medicine (Nephrology)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1225014988DR. JAMES R HOLM M.D.
Individual
Emergency Medicine (Undersea and Hyperbaric Medicine)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-2385
1295707313 ELIZABETH A DAVIS ARNP
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1588636492 JOSEPH F KNAPP MD
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1942272604 JOHN D GRABER MD
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1508838467 MICHAEL JOSEPH LONGO MD
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1013989979 KENNETH N MAHRER MD
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE MS:M4 - PA
SEATTLE, WA 98101
(206) 223-6600
1770555468 JOHN B SANDERS ARNP
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1447222120 BARBARA S WHEELER ARNP
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1366415812MRS. JENNIFER LYNNE JONES CRNA
Individual
Nurse Anesthetist, Certified Registered1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6980
1467425959 JOHN R HOLMES MD
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1659344109 JO-ANA DOLOJAN ARNP
Individual
Internal Medicine (Cardiovascular Disease)1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1326011644 LISA D CHINLUND ARNP
Individual
Anesthesiology1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1669445995 CLARENCE K CHONG CRNA
Individual
Anesthesiology1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1063485159 EDITH A VAN EVERA CRNA
Individual
Anesthesiology1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1225001290 MARY L DION MD
Individual
Anesthesiology1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600
1720051618 SUSAN E HOLT PAC
Individual
Allergy & Immunology1100 9TH AVE
SEATTLE, WA 98101
(206) 223-6600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144243668, enumerated in the NPI registry as an "individual" on July 25, 2006

The provider is located at 1100 9th Ave Seattle, Wa 98101 and the phone number is (206) 223-6600

The provider's speciality is Hospitalist with taxonomy code 208M00000X

The provider has more than 46 years of experience. He graduated from University Of Washington School Of Medicine in 1980.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

Medicare beneficiaries should expect a typical cost of $143.76 with an average copayment of $35.94 for new patient appointments. Established patients should expect a typical charge of $111 and an average copayment of 27.75. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Extended patient service without direct patient contact, first hour, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes and Hospital discharge day management, more than 30 minutes.

The practitioner is affiliated to the following hospital(s): VIRGINIA MASON MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.