Dr. Thomas Lee Headstream , MD
Internal Medicine • Abilene, TX
1665 Antilley Rd, Suite 200
Abilene, TX 796065265
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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Dr. Thomas Headstream is listed in NPPES under Internal Medicine.
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NPI assigned on October 14, 2005; this date does not establish years in practice.
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Published CMS data list 20,573 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:
- 85025 — Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 1,821 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 1,638 service units.
- P9604 — Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge: 1,532 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 83 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,612 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:
- Rosuvastatin Calcium — 124 prescription fills, including refills.
- Metoprolol Succinate — 115 prescription fills, including refills.
- Levothyroxine Sodium — 78 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 all 52 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Abilene, TX (2024, 25 clinicians with data). Median for this group: 1,385. Middle half: 686 to 2,646.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: 645. Middle half: 277 to 1,322.
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 3,324 in 2020 to 20,573 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1665 Antilley Rd
Suite 200
Abilene, TX 796065265
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 2 distinct group names: Privia Medical Group West Texas, Pllc; The West Texas Rehabilitation Center. 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
University Of Texas Southwestern Medical School At Dallas
1979
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,916 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 $371,199 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 $323,369 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
3,753 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
$330,591 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 $23.82 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
47 years (graduated 1979)
CMS Doctors and Clinicians data list 1979 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.
Enrolled in Medicare (PECOS)
Dr. Headstream 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 Dr. Headstream 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 Abilene and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Abilene, TX (2024, 25 clinicians with data). Median for this group: 1,385. Middle half: 686 to 2,646.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: 645. Middle half: 277 to 1,322.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Internal Medicine in Abilene, TX (2024, 25 clinicians with data). Median for this group: $116,594. Middle half: $78,332 to $201,474.
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: $61,221. Middle half: $27,420 to $115,826.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Internal Medicine in Abilene, TX (2024, 25 clinicians with data). Median for this group: $92,634. Middle half: $62,421 to $162,806.
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Texas (2024, 5,423 clinicians with data). Median for this group: $47,501. Middle half: $20,446 to $90,051.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Internal Medicine in Abilene, TX (2024, 26 clinicians with data). Median for this group: 1,932. Middle half: 327 to 8,683.
Close to the middle for clinicians listed under Internal Medicine in Texas (2024, 5,674 clinicians with data). Median for this group: 828. Middle half: 121 to 4,824.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Internal Medicine in Abilene, TX (2024, 26 clinicians with data). Median for this group: $175,728. Middle half: $15,290 to $732,738.
A higher Part D drug cost than 65% of clinicians listed under Internal Medicine in Texas (2024, 5,674 clinicians with data). Median for this group: $64,859. Middle half: $4,211 to $436,775.
40 active clinicians are listed under Internal Medicine with a practice address in Abilene, TX (9,191 in Texas).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Abilene
12.5% of these 40 clinicians have the CMS telehealth indicator.
70% of these 40 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 519% from 3,324 in 2020 to 20,573 in 2024.
- 2020: 3,324
- 2021: 3,168
- 2022: 21,811
- 2023: 22,836
- 2024: 20,573
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Medicare-allowed amount
Medicare-allowed amount increased 49% from $248,466 in 2020 to $371,199 in 2024.
- 2020: $248,466
- 2021: $129,688
- 2022: $272,149
- 2023: $377,387
- 2024: $371,199
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Paid by Medicare
Paid by Medicare increased 69% from $190,927 in 2020 to $323,369 in 2024.
- 2020: $190,927
- 2021: $99,992
- 2022: $247,554
- 2023: $330,364
- 2024: $323,369
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 119% from 736 in 2020 to 1,612 in 2024.
- 2020: 736
- 2021: 221
- 2022: 785
- 2023: 1,600
- 2024: 1,612
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30-day fills
30-day fills increased 200% from 1,250 in 2020 to 3,753 in 2024.
- 2020: 1,250
- 2021: 527
- 2022: 1,740
- 2023: 3,647
- 2024: 3,753
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Part D drug cost
Part D drug cost increased 768% from $38,080 in 2020 to $330,591 in 2024.
- 2020: $38,080
- 2021: $35,130
- 2022: $122,632
- 2023: $267,370
- 2024: $330,591
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $41.95 in 2020 to $23.82 in 2025.
- 2020: $41.95
- 2021: $14.04
- 2022: $29.33
- 2023: $104.12
- 2025: $23.82
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 $23.82.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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VRAYLAR | General | $23.82 |
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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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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1,821 | 994 | $31.99 | $7.56 |
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36415
Insertion of needle into vein for collection of blood sample
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1,638 | 844 | $16.00 | $8.65 |
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P9604
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge
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1,532 | 452 | $9.75 | $5.73 |
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G0471
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)
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1,523 | 443 | $16.00 | $10.59 |
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80053
Blood test, comprehensive group of blood chemicals
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1,310 | 823 | $59.96 | $10.30 |
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83721
Ldl cholesterol level
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917 | 651 | $70.00 | $10.28 |
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80061
Blood test, lipids (cholesterol and triglycerides)
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908 | 655 | $60.00 | $13.04 |
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81001
Manual urinalysis test with examination using microscope, automated
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813 | 560 | $21.98 | $3.09 |
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84443
Blood test, thyroid stimulating hormone (tsh)
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804 | 604 | $48.00 | $16.42 |
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80048
Blood test, basic group of blood chemicals (calcium, total)
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736 | 394 | $37.00 | $8.28 |
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83036
Hemoglobin a1c level
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731 | 448 | $28.00 | $9.46 |
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87086
Bacterial colony count, urine
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460 | 317 | $28.86 | $7.91 |
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84439
Thyroxine (thyroid chemical), free
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395 | 298 | $71.00 | $8.76 |
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82570
Creatinine level to test for kidney function or muscle injury
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376 | 239 | $44.00 | $5.05 |
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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
|
372 | 225 | $253.00 | $123.29 |
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82306
Vitamin d-3 level
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362 | 330 | $161.00 | $28.94 |
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99458
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
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361 | 23 | $80.00 | $37.84 |
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82043
Urine microalbumin (protein) level
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311 | 203 | $66.00 | $5.61 |
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87186
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
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297 | 202 | $34.82 | $8.45 |
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87088
Bacterial urine culture
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277 | 195 | $29.84 | $7.93 |
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82607
Cyanocobalamin (vitamin b-12) level
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259 | 228 | $53.00 | $14.73 |
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83735
Magnesium level
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225 | 177 | $24.00 | $6.52 |
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80069
Kidney function blood test panel
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221 | 114 | $32.00 | $8.39 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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184 | 184 | $258.00 | $124.22 |
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93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
179 | 147 | $328.49 | $149.18 |
(top 25 shown)
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 |
|---|---|---|---|---|---|
| Rosuvastatin Calcium | Rosuvastatin Calcium | 124 | 10,016 | $1,523.89 | 35 |
| Metoprolol Succinate | Metoprolol Succinate | 115 | 9,630 | $1,646.13 | 33 |
| Levothyroxine Sodium | Levothyroxine Sodium | 78 | 6,181 | $886.50 | 18 |
| Trazodone Hcl | Trazodone Hcl | 66 | 4,482 | $688.23 | 15 |
| Gabapentin | Gabapentin | 65 | 3,462 | $1,129.20 | 12 |
| Mounjaro | Tirzepatide | 64 | 1,792 | $64,673.47 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 59 | 4,710 | $392.24 | 16 |
| Lisinopril | Lisinopril | 55 | 4,830 | $378.26 | 16 |
| Eliquis | Apixaban | 52 | 2,952 | $56,269.27 | 11 |
| Irbesartan | Irbesartan | 50 | 4,404 | $1,100.41 | 15 |
| Sertraline Hcl | Sertraline Hcl | 46 | 3,420 | $407.36 | 13 |
| Celecoxib | Celecoxib | 38 | 2,309 | $2,100.69 | — |
| Amlodipine Besylate | Amlodipine Besylate | 37 | 2,610 | $137.64 | — |
| Losartan Potassium | Losartan Potassium | 37 | 3,330 | $368.09 | 11 |
| Farxiga | Dapagliflozin Propanediol | 37 | 1,890 | $34,697.58 | — |
| Alendronate Sodium | Alendronate Sodium | 33 | 2,348 | $417.55 | 11 |
| Furosemide | Furosemide | 31 | 1,950 | $108.28 | — |
| Ezetimibe | Ezetimibe | 30 | 2,665 | $1,504.92 | — |
| Allopurinol | Allopurinol | 29 | 2,610 | $195.57 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 29 | 2,550 | $481.73 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 28 | 2,160 | $171.18 | — |
| Chlorthalidone | Chlorthalidone | 26 | 2,260 | $578.15 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 25 | 2,205 | $225.82 | — |
| Potassium Chloride | Potassium Chloride | 25 | 1,950 | $365.42 | — |
| Prednisone | Prednisone | 23 | 1,032 | $105.76 | 13 |
(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
NUCC Taxonomy Code: 207R00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20060125000418
TX
7416971742
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
Privia Medical Group West Texas, Pllc
1665 Antilley Rd, Abilene, TX 796065271
Phone: 3257935100
The West Texas Rehabilitation Center
4601 Hartford St, Abilene, TX 796054603
Phone: 3257933411
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 - Family
Family Nurse Practitioner
Physician Assistant
Physician Assistant
Physician Assistant
Physician Assistant
Career & Practice History
NPI enumerated October 14, 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 Internal Medicine Providers in Abilene
- Dr. Sam Daggubati, MD
- Dr. Jeffrey Edwards, MD
- Dr. Bopanna Muckatira, MD
- Dr. Avinash Alexander, MD
- Dr. Eugene Hudman, MD
- Dr. Min Gao, MD
More public profiles in Texas
Directory navigation, in NPI number order.
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- Kesavan Shan, MD, FACC Internal Medicine - Cardiovascular Disease · Sugar Land
- Michael Valastro, MD Orthopaedic Surgery · Round Rock
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- Gail Dankis, PT Physical Therapist · Lago Vista
- Missid Ghanem, PsyD Psychologist · Woodland
- Shane Zatkalik, MD Emergency Medicine · Plano
- Jennifer Zimmer, MD Internal Medicine · Plano
- Abraham Abdo, MD Orthopaedic Surgery · Mesquite
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- Michael Mcmahon, MD Otolaryngology · College Station
Mailing Address
Po Box 5409
Abilene, TX 796085409
Phone: 3257935130