NPIMap

Individual provider Active NPI

Candace Lewann Thompson, D.O.

  • Internal Medicine Physician
  • Gloucester, MA
National Provider Identifier
1013969906
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
157773 Issued in MA
Practice address
9E Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone
(978) 890-7373
Fax
(978) 890-7372
NPI assigned
May 17, 2006
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 157773 MA Primary

Addresses

Primary practice location

9E Dr Osman Babson Rd
Gloucester, MA 01930-1812

Mailing address

9 Dr Osman Babson Road Suite F
Gloucester, MA 01930
Phone (978) 890-7373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011000203 MA Practitioner - Internal Medicine 7517159460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9 A Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone (978) 890-7373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
157773MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical Associates LLC Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Beth Israel Lahey Health Specialty Care, Inc. Internal Medicine Past Accepting new patients

Locations

9E Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 281-1144

9F Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 890-7373

35 United Dr
Ste 102
West Bridgewater, MA 02379

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1013969906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DR OSMAN BABSON ROAD SUITE F",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-890-7373",
            "fax_number": "978-890-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9E DR OSMAN BABSON RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301812",
            "telephone_number": "978-890-7373",
            "fax_number": "978-890-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CANDACE",
        "middle_name": "LEWANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "157773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.