Active NPI
William H Thom, M.D.
- Pain Medicine (Anesthesiology) Physician
- Jerseyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 036.118645
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900068033 | Other | IL | TAX-ID# |
| 036118645 | Other | IL | IL LICENSE |
| 255414300 | Medicaid | MN | |
| 752332 | Other | IL | HEALTHLINK |
| 900068033 | Other | IL | ESSENCE |
| 08220357 | Other | IL | BCBS GRP# |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Saint Louis University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Anderson Hospital
- Osf Saint Anthony'S Health Center
- Community Hospital of Staunton
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.76 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 036.118645 | IL | MD | Pain Medicine (Anesthesiology) Physician |
| 036118645 | IL | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital District | Pain Medicine | Current | Accepting new patients |
| Anderson Medical Group, LLC | Pain Medicine | Current | Accepting new patients |
| Hillsboro Area Hospital, Inc. | Current | Accepting new patients | |
| Jersey Community Hospital | Current | 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.
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Hospitalist Physician
- Hillsboro, IL
- NPI 1821078213
-
- Critical Access Hospital
- Carlinville, IL
- NPI 1932275641
-
- Critical Access Hospital
- Hillsboro, IL
- NPI 1194705210
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Critical Access Hospital
- Highland, IL
- NPI 1447352323
-
- Rural Health Clinic/Center
- Hillsboro, IL
- NPI 1811774771
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1700423696
-
- Anesthesiology Physician
- Jerseyville, IL
- NPI 1780617530
Pain Medicine
-
- Specialist
- Swansea, IL
- NPI 1235467606
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1659750818
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- Critical Access Hospital
- Staunton, IL
- NPI 1750308631
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.