Thomas E Gibbons Jr., MD
Individual provider Active NPI Emergency Medicine Physician · Lexington, SC
NPI 1316908643 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1316908643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 10877 (SC)
- Practice address
- 811 W Main St
Lexington, SC 29072-2507 - Phone
- (803) 749-0924
- Fax
- (803) 407-4101
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical University of South Carolina College of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lexington Health Inc
Practice addresses (Care Compare)
7035 Saint Andrews Rd
Columbia, SC 29212-1177
Phone (803) 407-4100
Hospital & facility affiliations
- Lexington Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040621000740 | SC | Practitioner - Emergency Medicine | 2365427747 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexington County Health Services District, Inc. | Current |
Accepting new patients | |
| Lexington Health Inc | Current |
Accepting new patients | |
| Lexington County Health Services District Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current |
Accepting new patients | |
| Prisma Health-Midlands | Past | Accepting new patients | |
| Carolina Orthopaedic and Sports Medicine, P.a. | Past |
Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| Doctors Care of Tennessee, P.C. | Emergency Medicine | Past |
Accepting new patients |
Locations
1111 Knox Abbott Dr
Cayce, SC 29033
Phone (803) 314-0660
557 Columbia Ave
Chapin, SC 29036
Phone (803) 932-0655
7035 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 749-0924
3016 Longtown Commons Dr
Ste 100
Columbia, SC 29229
Phone (803) 314-0500
103 Summit Centre Dr
Columbia, SC 29229
Phone (803) 356-4712
338 E Columbia Ave
Leesville, SC 29070
Phone (803) 332-4300
811 W Main St
Ste 212
Lexington, SC 29072
Phone (803) 358-6180
154 Saluda Pointe Dr
Lexington, SC 29072
Phone (803) 785-3580
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
811 W Main St
Lexington, SC 29072
935 W 2nd St
Swansea, SC 29160
Phone (803) 568-2000
470 Hulon Ln
West Columbia, SC 29169
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 10877 | SC | Yes |
Addresses
Primary practice location
811 W Main St
Lexington, SC 29072-2507
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108779 | Medicaid | SC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tgibbons11657@direct.lexmed.com |
Other providers in Lexington, SC
- Jennifer Maguire Gerber
- Get Right Health and Fitness
- Nima Ghorbani Moghaddam
- Alice Giang
- Giarrizzi Transitions MHT LLC
- Krista L Gibson
- Todd Matthew Gibson
- Brandon Giet
- Jenelle Gifford
- Gildner Family Dentistry LLC
All providers in Lexington, SC · Emergency Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.