Thomas Spheeris, M.D.
NPI 1205924057 · Family Medicine Physician · Aiea, HI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Spheeris, M.D. is a Family Medicine Physician provider in Aiea, HI (NPI 1205924057).
Provider details
- NPI number
- 1205924057
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD-10645 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
516 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 290 | $124 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 101 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 96 | $83 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 18 | $182 |
| Advance Care Planning, First 30 Minutes99497 | 11 | $80 |
Typical Medicare-allowed amounts for these services range $80–$182 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 35 | 35 |
| Metoprolol Succinate | 17 | 17 |
| Amlodipine Besylate | 16 | 14 |
| Prednisone | 15 | 15 |
| Furosemide | 14 | 14 |
| Pantoprazole Sodium | 13 | 13 |
| Atorvastatin Calcium | 12 | 12 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$291 across 12 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-12-10
Frequently asked questions
- What is Thomas Spheeris's NPI number?
- Thomas Spheeris's National Provider Identifier (NPI) is 1205924057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Spheeris's specialty?
- Thomas Spheeris is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Spheeris located?
- Thomas Spheeris's practice location on file with NPPES is 98-1079 Moanalua Rd, Aiea, HI 96701-4713.
- What is Thomas Spheeris's phone number?
- The practice phone number listed in the NPPES registry for Thomas Spheeris is (808) 485-4250.
- Does Thomas Spheeris accept Medicare?
- Thomas Spheeris is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Spheeris's NPI active?
- Yes — Thomas Spheeris's NPI (1205924057) is active in the NPPES registry as of the last update on 2007-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.