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Dr. Thomas Evans , MD

Emergency Medicine • Worcester, MA

Active NPI 1013068147 Individual Practitioner Male Practitioner
Practice location in NPPES

281 Lincoln St, Med Staff Svcs
Worcester, MA 016052138

Call 5083348015 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

281 Lincoln St
Med Staff Svcs

Worcester, MA 016052138

Telephone 5083348015
Organization at the Same NPPES Address or Phone
A Jerome Philbin M.d., P.c. Facility NPI 1659319143

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

244 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $41,312 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $31,542 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

12 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$585 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Evans has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Evans as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Worcester and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Emergency Medicine in Worcester, MA (2024, 166 clinicians with data). Median for this group: 316. Middle half: 184 to 422.

Fewer Medicare Part B services than 65% of clinicians listed under Emergency Medicine in Massachusetts (2024, 1,259 clinicians with data). Median for this group: 361. Middle half: 187 to 573.

Medicare-allowed amount

Close to the middle for clinicians listed under Emergency Medicine in Worcester, MA (2024, 166 clinicians with data). Median for this group: $44,397. Middle half: $26,534 to $55,846.

Close to the middle for clinicians listed under Emergency Medicine in Massachusetts (2024, 1,259 clinicians with data). Median for this group: $51,036. Middle half: $27,107 to $80,711.

Paid by Medicare

Close to the middle for clinicians listed under Emergency Medicine in Worcester, MA (2024, 166 clinicians with data). Median for this group: $34,147. Middle half: $20,361 to $43,088.

A lower Medicare payment amount than 60% of clinicians listed under Emergency Medicine in Massachusetts (2024, 1,259 clinicians with data). Median for this group: $39,183. Middle half: $20,679 to $62,103.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Emergency Medicine in Worcester, MA (2024, 102 clinicians with data). Median for this group: 37. Middle half: 16 to 81.

Fewer Part D prescriptions than 85% of clinicians listed under Emergency Medicine in Massachusetts (2024, 796 clinicians with data). Median for this group: 58. Middle half: 24 to 132.

Part D drug cost

Close to the middle for clinicians listed under Emergency Medicine in Worcester, MA (2024, 102 clinicians with data). Median for this group: $620. Middle half: $153 to $1,050.

Close to the middle for clinicians listed under Emergency Medicine in Massachusetts (2024, 796 clinicians with data). Median for this group: $627. Middle half: $195 to $1,333.

216 active clinicians are listed under Emergency Medicine with a practice address in Worcester, MA (1,829 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Worcester

3.7% of these 216 clinicians have the CMS telehealth indicator.

73.6% of these 216 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit with high level of medical decision making
167 163 $918.01 $170.75
99291 Critical care, first 30-74 minutes
49 49 $1126.94 $208.92
99284 Emergency department visit with moderate level of medical decision making
22 22 $591.09 $116.35

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cefpodoxime Proxetil Cefpodoxime Proxetil 12 93 $585.32 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES MA 229904

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20090623000581

Enrollment State Jurisdiction

MA

PECOS Control ID

9436200938

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

29 listed
Dr. Shideh Amirifeli , MD

Internal Medicine

NPI 1083763890

Doctor of Medicine (M.D.)

NPI 1124168091
NPI 1245495431

Doctor of Dental Medicine

NPI 1841449568

Doctor of Osteopathic Medicine (D.O.)

NPI 1518016286

Doctor of Medicine (M.D.)

Dr. Eduardo Caussade Rodriguez , MD

Psychiatry & Neurology - Psychiatry

NPI 1851551105

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated January 16, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1013068147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Other Emergency Medicine Providers in Worcester

All Emergency Medicine Providers in Worcester

More public profiles in Massachusetts

Directory navigation, in NPI number order.

Mailing Address

281 Lincoln St, Med Staff Svcs

Worcester, MA 016052138

Phone: 5083348015

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.