Dr. Thomas E Fleming , MD
Dermatology • Sandusky, OH
2500 W Strub Rd, Suite 350
Sandusky, OH 448705390
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 8, 2005; this date does not establish years in practice.
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Published CMS data list 443 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 17311 — Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks: 216 service units.
- 17312 — Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks: 142 service units.
- 17003 — Destruction of precancer skin growth, 2-14 growths: 65 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 112 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin — 101 prescription fills, including refills.
- Clindamycin Hcl — 11 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: 2,065. Middle half: 1,076 to 3,673.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 5,130 in 2020 to 443 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2500 W Strub Rd
Suite 350
Sandusky, OH 448705390
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Northern Ohio Medical Specialists, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University
1998
What Public CMS Data Show
Dermatology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
204 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $194,887 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $154,628 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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
114 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
$484 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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)
Fewer than 11 payment records totaling $17.15 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
28 years (graduated 1998)
CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
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.
Can order Medicare-covered services
CMS lists Dr. Fleming 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Sandusky and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: 2,065. Middle half: 1,076 to 3,673.
Too few clinicians listed under Dermatology in Sandusky have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 65% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: $137,240. Middle half: $69,184 to $237,264.
Too few clinicians listed under Dermatology in Sandusky have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Dermatology in Ohio (2024, 363 clinicians with data). Median for this group: $91,114. Middle half: $47,586 to $169,550.
Too few clinicians listed under Dermatology in Sandusky have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Dermatology in Ohio (2024, 398 clinicians with data). Median for this group: 644. Middle half: 280 to 1,144.
Too few clinicians listed under Dermatology in Sandusky have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Dermatology in Ohio (2024, 398 clinicians with data). Median for this group: $99,003. Middle half: $10,227 to $354,602.
Too few clinicians listed under Dermatology in Sandusky have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Dermatology with a practice address in Sandusky, OH (508 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 91% from 5,130 in 2020 to 443 in 2024.
- 2020: 5,130
- 2021: 4,815
- 2022: 4,118
- 2023: 1,905
- 2024: 443
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Medicare-allowed amount
Medicare-allowed amount decreased 67% from $596,880 in 2020 to $194,887 in 2024.
- 2020: $596,880
- 2021: $591,749
- 2022: $551,677
- 2023: $378,425
- 2024: $194,887
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Paid by Medicare
Paid by Medicare decreased 65% from $444,630 in 2020 to $154,628 in 2024.
- 2020: $444,630
- 2021: $449,733
- 2022: $415,349
- 2023: $285,832
- 2024: $154,628
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 88% from 903 in 2020 to 112 in 2024.
- 2020: 903
- 2021: 814
- 2022: 691
- 2023: 395
- 2024: 112
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30-day fills
30-day fills decreased 89% from 1,049 in 2020 to 114 in 2024.
- 2020: 1,049
- 2021: 925
- 2022: 776
- 2023: 426
- 2024: 114
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Part D drug cost
Part D drug cost decreased 100% from $410,387 in 2020 to $484 in 2024.
- 2020: $410,387
- 2021: $353,162
- 2022: $300,881
- 2023: $157,813
- 2024: $484
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $46.53 in 2020 to $17.15 in 2025.
- 2020: $46.53
- 2021: $147.01
- 2022: $106.88
- 2023: $21.18
- 2025: $17.15
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $17.15.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
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Otezla | General | $17.15 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
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 |
|---|---|---|---|---|
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17311
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
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216 | 194 | $1610.00 | $641.40 |
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17312
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
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142 | 101 | $965.00 | $389.12 |
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17003
Destruction of precancer skin growth, 2-14 growths
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65 | 12 | $25.00 | $6.28 |
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17000
Destruction of precancer skin growth, 1 growth
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20 | 19 | $179.00 | $34.08 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 101 | 962 | $425.97 | 99 |
| Clindamycin Hcl | Clindamycin Hcl | 11 | 184 | $58.16 | 11 |
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
NUCC Taxonomy Code: 207N00000X
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Northern Ohio Medical Specialists, Llc
3004 Hayes Ave, Sandusky, OH 448705321
Phone: 4196091112
Northern Ohio Medical Specialists, Llc
2500 W Strub Rd, Sandusky, OH 448705390
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner
Nurse Practitioner
Physician Assistant - Surgical
Physician Assistant (Certified)
Dermatology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated July 08, 2005.
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.
NPI Administrative Meta
Other Dermatology Specialists in Sandusky
- Dr. Jennifer Gould, MD
- Dr. Adeline Kikam, DO
- Dr. Laleh Bedocs, DO
- Dr. Justin Hastings, MD
- Dr. Paul Bedocs, DO
- Dr. Emily Petitti, MD
Mailing Address
Po Box 378
Sandusky, OH 448710378
Phone: 4196091112