Individual provider Active NPI

William H Thom, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jerseyville, IL
National Provider Identifier
1225015456
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036.118645 Issued in IL
Practice address
400 Maple Summit Rd
Pain Center
Jerseyville, IL 62052
Phone
(618) 498-2273
Fax
(618) 498-8316
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2004005755 MO
Pain Medicine Physician 208VP0000X 036118645 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X 036.118645 IL Primary

Addresses

Primary practice location

400 Maple Summit Rd
Pain Center
Jerseyville, IL 62052

Mailing address

390 Maple Summit Rd
Jerseyville, IL 62052-2000
Phone (618) 498-7518

Other practice location 1

220 E County Rd
E Annex Bldg
Jerseyville, IL 62052
Phone (618) 498-8467

Other practice location 2

12 Wolf Creek
Suite 200
Swansea, IL 62206
Phone (618) 239-9910 ext. 1100

Other practice location 3

6828 State Route 162 Ste A
Maryville, IL 62062-8558
Phone (618) 288-8363

Other identifiers 6

IdentifierTypeStateIssuer
900068033OtherILTAX-ID#
036118645OtherILIL LICENSE
255414300MedicaidMN
752332OtherILHEALTHLINK
900068033OtherILESSENCE
08220357OtherILBCBS GRP#

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wthom@jch.cernerdirect.com Health Information Exchange (HIE)
Direct Messaging Address wthom@jch.cernerdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070912000451 IL Practitioner - AnesthesiologyPractitioner - Pain Management 2466480736 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

6800 State Route 162
Maryville, IL 62062-8500
Phone 6182885711402

Hospital & facility affiliations

  • Jersey Community Hospital Hospital, Jerseyville, IL, CCN 140059
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052
  • Community Hospital of Staunton Hospital, Staunton, IL, CCN 141306

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.76 of 100Reported as group
Quality
54.98
Promoting interoperability
85
Improvement activities
40
Cost
73.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.118645ILMDPain Medicine (Anesthesiology) Physician
036118645ILMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Jersey Community Hospital Current Accepting new patients
Jersey Community Hospital District Pain Medicine CurrentSince Apr 26, 2020 Accepting new patients
Anderson Medical Group, LLC Pain Medicine CurrentSince Mar 1, 2023 Accepting new patients
Hillsboro Area Hospital, Inc. CurrentSince Mar 1, 2026 Accepting new patients
Jersey Community Hospital CurrentSince Apr 26, 2020 Accepting new patients
Jersey Community Hospital Past Accepting new patients
Associated Physicians Group LTD Past Accepting new patients

Locations

3403 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-8332

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

400 Maple Summit Rd
Ste 200
Jerseyville, IL 62052
Phone (618) 498-3612

220 E County Rd
Jerseyville, IL 62052
Phone (618) 498-2273

390 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-2101

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

6828 State Route 162
Ste A
Maryville, IL 62062
Phone (618) 288-8363

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 12

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

Hospital & facility affiliations 4

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1225015456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MAPLE SUMMIT RD",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620522000",
            "telephone_number": "618-498-7518",
            "fax_number": "618-498-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAPLE SUMMIT RD",
            "address_2": "PAIN CENTER",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "62052",
            "telephone_number": "618-498-2273",
            "fax_number": "618-498-8316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 E County Rd",
            "address_2": "E Annex Bldg",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "62052",
            "country_code": "US",
            "telephone_number": "618-498-8467",
            "fax_number": "618-639-2017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Wolf Creek",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "62206",
            "country_code": "US",
            "telephone_number": "618-239-9910 x1100",
            "fax_number": "618-239-9795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6828 State Route 162 Ste A",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620628558",
            "country_code": "US",
            "telephone_number": "618-288-8363",
            "fax_number": "618-288-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOM",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MO",
            "license": "2004005755",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036118645",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036.118645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID#",
            "identifier": "900068033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036118645",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255414300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "752332",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "900068033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP#",
            "identifier": "08220357",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wthom@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Maple Summit Rd",
            "address_2": "Pain Center",
            "city": "Jerseyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wthom@jch.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIE JERSEY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "220 E County Rd",
            "address_2": "E Annex Bldg",
            "city": "Jerseyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jerseyville, IL

Sources for this page

Verify at the official NPI Registry.