DR. NEIL J. THOMAS M.D.
NPI 1720070238
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Springfield, IL
NPI Status: Active since August 19, 2005
Contact Information
619 E MASON ST STE 4P57
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 788-0706
Fax: (217) 525-2535
- Individual
- Male
- Thoracic Surgery (Cardiothoracic Vascula...
- Accepts Insurance
- PECOS Enrolled
About NEIL THOMAS
This page provides the complete NPI Profile along with additional information for Neil Thomas, a provider established in Springfield, Illinois with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1720070238 assigned on August 2005. The practitioner's primary taxonomy code is 208G00000X with license number 68522 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1720070238
- Provider Name
- DR. NEIL J. THOMAS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701
- Location Phone
- (217) 788-0706
- Location Fax
- (217) 525-2535
- Mailing Address
- 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701
- Mailing Phone
- (217) 788-0706
- Mailing Fax
- (217) 525-2535
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-19-2005
- Last Update Date
- 10-26-2018
- Code Navigator
Location Map
Secondary Locations
- 25 N Winfield Rd Suite 201
Winfield, IL 60190
(630) 933-4480 - 3803 Spring St Ste 400
Mount Pleasant, WI 53405
(262) 687-8774
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
Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Taxonomy Code
- 208G00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 68522
- License State
- WI
- Taxonomy Description
- A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
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 |
|---|---|---|---|
| 206147 | OTHER (01) | IL | MEDICARE PTAN (GROUP) |
| P01090249 | OTHER (01) | IL | MEDICARE RAILROAD PTAN |
| 206147018 | OTHER (01) | IL | MEDICARE PTAN (INDIVIDUAL) |
| 036077558 | MEDICAID (05) | IL | |
| 200469730 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Neil Thomas 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), a Home Health Agency (HHA) and Power Mobility Devices.
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
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: Yes
Physician Visit Costs
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 62701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $168.44
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $42.11
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.64
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $17.16
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* 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.
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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. | |||||||||
| 1 | 7 | 2 | 0 | 0 | 7 | 0 | 2 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 0 | 7 | 0 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 0 + 7 + 0 + 2 + 6 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1720070238 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 |
|---|---|---|---|
| 1518405588 | DR. WALEED ALHARBI MD Individual | Internal Medicine (Interventional Cardiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1265763163 | GRETCHEN L MAHANEY CALDWELL APN Individual | Nurse Practitioner | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1285214130 | MS. DAWN KATHLEEN WINEBRIGHT APRN Individual | Nurse Practitioner (Acute Care) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1427130426 | NASARAIAH NALLAMOTHU M.D. Individual | Internal Medicine (Cardiovascular Disease) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1508976788 | ERBERT CACERES MD Individual | Internal Medicine (Interventional Cardiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1528228624 | AVINASH M.A. MURTHY MD Individual | Internal Medicine (Interventional Cardiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1588187397 | ANDREA NICOLE BLOODWORTH APN, BSN, RN Individual | Nurse Practitioner | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1619278074 | WESLEY BRIAN ZWIEFEL PA-C Individual | Physician Assistant | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1639251747 | GABOR MATOS M.D. Individual | Internal Medicine (Interventional Cardiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1700199445 | DR. BHARATH RAJAGOPALAN M.B.,B.S Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1972751451 | DR. SURESH KUMAR KULANDHAISAMY MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1982969960 | ARTI SINGH M.D. Individual | Internal Medicine (Cardiovascular Disease) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1629051958 | MR. JOHN M PARGULSKI D.O. Individual | Internal Medicine (Cardiovascular Disease) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1811504087 | DYLAN S MCKINNEY APRN Individual | Nurse Practitioner (Family) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1982714218 | PRAIRIE CARDIOVASCULAR CONSULTANTS, LTD. Organization | Clinic/Center (Multi-Specialty) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1053727776 | ABDUR RAHMAN FUZAIL AHMAD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1942952403 | ALISON GRYCZEWSKI PA-C Individual | Physician Assistant | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1558337857 | JACK J HALL MD Individual | Internal Medicine (Interventional Cardiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1053022202 | REX RIZALDO APRN Individual | Nurse Practitioner (Critical Care Medicine) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
| 1831546134 | DR. MICHAEL GIONO BARKETT M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 619 E MASON ST STE 4P57 SPRINGFIELD, IL 62701 (217) 788-0706 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720070238, enumerated in the NPI registry as an "individual" on August 19, 2005
The provider is located at 619 E Mason St Ste 4p57 Springfield, Il 62701 and the phone number is (217) 788-0706
The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare,. 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), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $168.44 with an average copayment of $42.11 for new patient appointments. Established patients should expect a typical charge of $68.64 and an average copayment of 17.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 19, 2005. 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.