Thomas J. Bules , CRNP
Nurse Practitioner โข Danville, PA
100 N Academy Ave
Danville, PA 178222160
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 29, 2010; this date does not establish years in practice.
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Published CMS data list 753 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 224 service units.
- 99214 โ Established patient outpatient office visit: 220 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 131 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,130 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Metoprolol Succinate โ 260 prescription fills, including refills.
- Atorvastatin Calcium โ 183 prescription fills, including refills.
- Metoprolol Tartrate โ 125 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 33 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Danville, PA (2024, 75 clinicians with data). Median for this group: 293. Middle half: 91 to 462.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: 219. Middle half: 83 to 477.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 405 in 2020 to 753 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
100 N Academy Ave
Danville, PA 178222160
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: Geisinger Clinic. 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
2010
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
299 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 โ by Provider, 2024.
Medicare-allowed amount
About $36,067 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 โ by Provider and Service, 2024.
Paid by Medicare
About $26,520 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 โ by Provider and Service, 2024.
30-day fills
5,264 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
$282,219 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $23.93 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
16 years (graduated 2010)
CMS Doctors and Clinicians data list 2010 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
2010
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Thomas Bules 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.
Can order Medicare-covered services
CMS lists Thomas Bules 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 Danville and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Danville, PA (2024, 75 clinicians with data). Median for this group: 293. Middle half: 91 to 462.
More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: 219. Middle half: 83 to 477.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Danville, PA (2024, 75 clinicians with data). Median for this group: $18,908. Middle half: $5,679 to $30,031.
A higher Medicare-allowed amount than 75% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: $16,817. Middle half: $6,508 to $34,616.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Nurse Practitioner in Danville, PA (2024, 75 clinicians with data). Median for this group: $13,603. Middle half: $4,228 to $21,876.
A higher Medicare payment amount than 75% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,785 clinicians with data). Median for this group: $12,551. Middle half: $4,770 to $25,713.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Danville, PA (2024, 75 clinicians with data). Median for this group: 289. Middle half: 95 to 1,384.
More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,916 clinicians with data). Median for this group: 436. Middle half: 111 to 1,584.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Danville, PA (2024, 75 clinicians with data). Median for this group: $27,001. Middle half: $3,422 to $276,268.
A higher Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Pennsylvania (2024, 1,916 clinicians with data). Median for this group: $33,211. Middle half: $1,952 to $187,775.
135 active clinicians are listed under Nurse Practitioner with a practice address in Danville, PA (3,919 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Danville
31.1% of these 135 clinicians have the CMS telehealth indicator.
66.7% of these 135 clinicians are listed by CMS as accepting Medicare assignment.
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 increased 86% from 405 in 2020 to 753 in 2024.
- 2020: 405
- 2021: 298
- 2022: 152
- 2023: 388
- 2024: 753
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Medicare-allowed amount
Medicare-allowed amount increased 45% from $24,892 in 2020 to $36,067 in 2024.
- 2020: $24,892
- 2021: $21,178
- 2022: $12,308
- 2023: $30,352
- 2024: $36,067
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Paid by Medicare
Paid by Medicare increased 49% from $17,789 in 2020 to $26,520 in 2024.
- 2020: $17,789
- 2021: $15,983
- 2022: $9,100
- 2023: $22,568
- 2024: $26,520
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 77% from 1,201 in 2020 to 2,130 in 2024.
- 2020: 1,201
- 2021: 1,435
- 2022: 1,376
- 2023: 1,254
- 2024: 2,130
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30-day fills
30-day fills increased 96% from 2,688 in 2020 to 5,264 in 2024.
- 2020: 2,688
- 2021: 3,269
- 2022: 3,345
- 2023: 3,117
- 2024: 5,264
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Part D drug cost
Part D drug cost increased 334% from $65,016 in 2020 to $282,219 in 2024.
- 2020: $65,016
- 2021: $118,521
- 2022: $118,957
- 2023: $139,950
- 2024: $282,219
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $113.92 in 2024 to $23.93 in 2025.
- 2024: $113.92
- 2025: $23.93
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 ยท 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 โ December 31, 2025): fewer than 11 records totaling $23.93.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
THORATEC HEARTMATE 3 LVAS IMPLANT KIT | General | $23.93 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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224 | 160 | $42.00 | $13.11 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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220 | 158 | $316.27 | $77.55 |
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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
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131 | 112 | $42.00 | $13.17 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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123 | 105 | $318.29 | $83.95 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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20 | 19 | $215.50 | $53.22 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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18 | 17 | $216.67 | $54.37 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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17 | 16 | $446.76 | $116.17 |
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 |
|---|---|---|---|---|---|
| Metoprolol Succinate | Metoprolol Succinate | 260 | 19,908 | $4,826.90 | 87 |
| Atorvastatin Calcium | Atorvastatin Calcium | 183 | 15,317 | $3,277.34 | 64 |
| Metoprolol Tartrate | Metoprolol Tartrate | 125 | 10,645 | $1,377.34 | 39 |
| Furosemide | Furosemide | 121 | 9,046 | $978.05 | 44 |
| Torsemide | Torsemide | 117 | 8,120 | $7,312.44 | 43 |
| Lisinopril | Lisinopril | 113 | 9,442 | $1,583.42 | 42 |
| Amlodipine Besylate | Amlodipine Besylate | 113 | 8,415 | $1,053.91 | 38 |
| Eliquis | Apixaban | 113 | 7,196 | $133,853.45 | 35 |
| Clopidogrel | Clopidogrel Bisulfate | 108 | 7,935 | $1,178.89 | 31 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 93 | 8,110 | $1,634.78 | 31 |
| Ezetimibe | Ezetimibe | 85 | 4,906 | $2,845.33 | 21 |
| Potassium Chloride | Potassium Chloride | 83 | 5,907 | $2,969.21 | 23 |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 65 | 4,623 | $941.81 | 21 |
| Spironolactone | Spironolactone | 60 | 4,646 | $433.50 | 19 |
| Carvedilol | Carvedilol | 51 | 4,289 | $522.19 | 14 |
| Losartan Potassium | Losartan Potassium | 49 | 4,354 | $782.66 | 20 |
| Nitroglycerin | Nitroglycerin | 41 | 795 | $400.47 | 25 |
| Amiodarone Hcl | Amiodarone Hcl | 38 | 3,102 | $1,343.59 | 15 |
| Entresto | Sacubitril/Valsartan | 34 | 2,220 | $47,278.37 | โ |
| Warfarin Sodium | Warfarin Sodium | 29 | 1,970 | $462.62 | 11 |
| Digoxin | Digoxin | 28 | 2,110 | $407.90 | โ |
| Hydrochlorothiazide | Hydrochlorothiazide | 28 | 2,520 | $161.26 | โ |
| Repatha Sureclick | Evolocumab | 28 | 1,064 | $19,867.18 | โ |
| Xarelto | Rivaroxaban | 26 | 1,277 | $23,123.87 | โ |
| Amoxicillin | Amoxicillin | 21 | 176 | $69.92 | 16 |
(top 25 shown)
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: 2025-03-18NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20101210000926
PA
4880881283
Sources: 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
Geisinger Clinic
100 N Academy Ave, Danville, PA 178229800
Phone: 5702716541
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Cardiovascular Disease
MDMPH
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner
Certified Registered Nurse Practitioner
Internal Medicine - Cardiovascular Disease
Doctor of Medicine (M.D.)
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Career & Practice History
NPI enumerated July 29, 2010.
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 Nurse Practitioners in Danville
- Lindsay Beck
- Heather Lechleitner-Wolfe, CRNP
- Angela Seanard, CRNP
- Mariah Freeze, CRNP
- Rachel Dragano, CRNP-C
- Alison Mowery, CRNP
Mailing Address
100 N Academy Ave, Credentials Dept
Danville, PA 178224903
Phone: 5702716144