Theresa Thomas, MD
NPI 1366838187 · Family Medicine Physician · Dover, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Thomas, MD is a Family Medicine Physician provider in Dover, NJ (NPI 1366838187).
Provider details
- NPI number
- 1366838187
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
451 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 280 | $138 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 111 | $142 |
| Administration of Influenza Virus VaccineG0008 | 48 | $34 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 12 | $16 |
Typical Medicare-allowed amounts for these services range $16–$142 (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 · 92 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 307 | 109 |
| Amlodipine Besylate | 256 | 76 |
| Fluticasone Propionate | 149 | 60 |
| Levothyroxine Sodium | 139 | 34 |
| Metoprolol Succinate | 136 | 40 |
| Rosuvastatin Calcium | 109 | 39 |
| Hydrochlorothiazide |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$85 across 5 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
Additional practice locations (1)
- 99 Beauvoir AveSummit, NJ 07901-3533Phone: (908) 522-2000
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2019-07-26
Frequently asked questions
- What is Theresa Thomas's NPI number?
- Theresa Thomas's National Provider Identifier (NPI) is 1366838187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Thomas's specialty?
- Theresa Thomas is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Thomas located?
- Theresa Thomas's practice location on file with NPPES is 18 W Blackwell St, Dover, NJ 07801-3841.
- What is Theresa Thomas's phone number?
- The practice phone number listed in the NPPES registry for Theresa Thomas is (973) 328-3344.
- Does Theresa Thomas accept Medicare?
- Theresa Thomas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Thomas's NPI active?
- Yes — Theresa Thomas's NPI (1366838187) is active in the NPPES registry as of the last update on 2019-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.