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Dr. Erin Thomas , MD

Internal Medicine โ€ข Worcester, MA

Active NPI 1922561893 Individual Practitioner Female Practitioner
Practice location in NPPES

55 Lake Ave N
Worcester, MA 016550002

Call 5088561886 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

55 Lake Ave N

Worcester, MA 016550002

Telephone 5088561886
Organization at the Same NPPES Address or Phone
Umass Memorial Medical Center Facility NPI 1679574933

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boston, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare-allowed amount

About $12,970 in 2023

The total amount Medicare approved for these services in 2023. 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 โ€“ by Provider and Service, 2023.

Paid by Medicare

About $10,176 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, 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 โ€“ by Provider and Service, 2023.

30-day fills

146 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

$645,697 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2019

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, โ€œDoes your provider accept Medicare as full payment?โ€

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. Thomas 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. Thomas 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 D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: 319. Middle half: 61 to 3,185.

Fewer Part D prescriptions than 70% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: 1,174. Middle half: 129 to 3,740.

Part D drug cost

A higher Part D drug cost than 90% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: $40,855. Middle half: $1,827 to $224,930.

A higher Part D drug cost than 90% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: $103,819. Middle half: $9,088 to $319,703.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Thomas are from 2023.

448 active clinicians are listed under Internal Medicine with a practice address in Worcester, MA (6,830 in Massachusetts).

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

Telehealth indicator in Worcester

16.3% of these 448 clinicians have the CMS telehealth indicator.

57.6% of these 448 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), 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 ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2022 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 โ€“ by Provider and Service data, 2022โ€“2023; 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
49 19 $290.00 $84.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
48 48 $805.00 $184.37

Source: CMS Part B by Provider and Service, 2023; 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 ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prochlorperazine Maleate Prochlorperazine Maleate 21 402 $535.06 14
Enoxaparin Sodium Enoxaparin Sodium 18 521 $6,388.32 โ€”
Dexamethasone Dexamethasone 16 269 $73.38 โ€”
Revlimid Lenalidomide 16 368 $207,837.54 โ€”
Acyclovir Acyclovir 15 570 $126.60 โ€”
Eliquis Apixaban 14 485 $9,557.14 โ€”
Calquence Acalabrutinib Maleate 14 420 $209,189.04 โ€”
Bosulif Bosutinib 13 381 $211,891.45 โ€”
Ondansetron Hcl Ondansetron Hcl 11 230 $98.24 โ€”

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

Self-certified to NPPES: 2023-08-20
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES MA 291199

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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 - INTERNAL MEDICINE

Medicare Enrollment ID

I20220804003000

Enrollment State Jurisdiction

MA

PECOS Control ID

7012243272

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.

Secondary Practice Locations

55 Fruit St # 1500

Boston, MA 021142621

Phone: 6177243874

Clinicians Sharing This Practice Address or Phone

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

40 listed
Amarys Abadie , CRNA

Nurse Anesthetist, Certified Registered

NPI 1992936843

Certified Registered Nurse Anesthetist

Aly Abayazeed

Radiology - Diagnostic Radiology

NPI 1821221946
Zainab Abbas

Dermatology

NPI 1609028000
Dr. Mary-Alice Abbott , MD

Medical Genetics - Clinical Genetics (M.D.)

NPI 1982799417

Doctor of Medicine (M.D.)

Elizabeth Abbruzzese , NP

Nurse Practitioner

NPI 1326645300

Nurse Practitioner

NPI 1720630775

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Practice Location August 20, 2023

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5088561886)

๐Ÿ“
Updated Practice Location May 31, 2022

Registered at 55 FRUIT ST # 1500, BOSTON, MA 021142621 (Tel: 6177243874)

๐Ÿ“
Updated Business Mailing Address May 31, 2022

Registered at 55 FRUIT ST # 1500, BOSTON, MA 021142621 (Tel: 6177243874)

๐Ÿ‘ค
Provider Name / Credentials Updated May 31, 2022

Recorded as ERIN THOMAS, MD

โœ…
NPI Profile Active April 09, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 09, 2019

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 5088561886)

๐Ÿ“
Business Mailing Address (Initial Record) April 09, 2019

Registered at 55 LAKE AVE N, WORCESTER, MA 016550002

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 09, 2019

Recorded as ERIN THOMAS

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration April 09, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1922561893
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2019
Last Update: August 20, 2023
Sole Proprietor: No

Other Internal Medicine Providers in Worcester

All Internal Medicine Providers in Worcester

Mailing Address

55 Fruit St # 1500

Boston, MA 021142621

Phone: 6177243874

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.