Thomas Kefalas, M.D.
NPI 1609842897 · Psychiatry Physician · Grand Rapids, MN
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Kefalas, M.D. is a Psychiatry Physician provider in Grand Rapids, MN (NPI 1609842897).
Provider details
- NPI number
- 1609842897
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 44743 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
232 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 | 110 | $113 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 45 | $79 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 40 | $92 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 22 | $136 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 15 | $154 |
Typical Medicare-allowed amounts for these services range $79–$154 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 77 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Risperidone | 401 | 32 |
| Lorazepam | 315 | 25 |
| Olanzapine | 280 | 17 |
| Quetiapine Fumarate | 274 | 25 |
| Clonazepam | 253 | 23 |
| Sertraline Hcl | 216 | 22 |
| Buspirone Hcl | 215 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 2 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
- 2006-02-27
- Last updated
- 2009-02-22
Frequently asked questions
- What is Thomas Kefalas's NPI number?
- Thomas Kefalas's National Provider Identifier (NPI) is 1609842897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Kefalas's specialty?
- Thomas Kefalas is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Kefalas located?
- Thomas Kefalas's practice location on file with NPPES is 215 Se 2nd Ave, Grand Rapids, MN 55744-3615.
- What is Thomas Kefalas's phone number?
- The practice phone number listed in the NPPES registry for Thomas Kefalas is (218) 326-1274.
- Does Thomas Kefalas accept Medicare?
- Thomas Kefalas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Kefalas's NPI active?
- Yes — Thomas Kefalas's NPI (1609842897) is active in the NPPES registry as of the last update on 2009-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.