Thomas Vanderheyden, MD
NPI 1720026438 · Emergency Medicine Physician · Mobile, AL
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Vanderheyden, MD is a Emergency Medicine Physician provider in Mobile, AL (NPI 1720026438).
Provider details
- NPI number
- 1720026438
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A90522 (CA)
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
619 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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 258 | $169 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 181 | $8 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 119 | $116 |
| Critical Care, First 30-74 Minutes99291 | 50 | $207 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 11 | $69 |
Typical Medicare-allowed amounts for these services range $8–$207 (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 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 55 | 55 |
| Cefdinir | 50 | 50 |
| Ondansetronbrand: Ondansetron Odt | 44 | 43 |
| Doxycycline Hyclate | 41 | 41 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 34 | 34 |
| Famotidine | 33 | 18 |
| Prednisone | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$16 across 1 record (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)
- 1208 US Highway 98Daphne, AL 36526-4254Phone: (251) 626-5377
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Frequently asked questions
- What is Thomas Vanderheyden's NPI number?
- Thomas Vanderheyden's National Provider Identifier (NPI) is 1720026438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Vanderheyden's specialty?
- Thomas Vanderheyden is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Vanderheyden located?
- Thomas Vanderheyden's practice location on file with NPPES is 3719 Dauphin St, Mobile, AL 36608-1753.
- What is Thomas Vanderheyden's phone number?
- The practice phone number listed in the NPPES registry for Thomas Vanderheyden is (251) 626-5377.
- Does Thomas Vanderheyden accept Medicare?
- Thomas Vanderheyden is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Vanderheyden's NPI active?
- Yes — Thomas Vanderheyden's NPI (1720026438) is active in the NPPES registry as of the last update on 2020-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.