NPIMap

Individual provider Active NPI

Tison Thomas, D.O.

  • Family Medicine Physician
  • Lewiston, ME
National Provider Identifier
1346694312
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO3610 Issued in ME
Practice address
93 Campus Ave
Lewiston, ME 04240-6030
Phone
(207) 333-4677
Fax
(207) 333-4679
NPI assigned
Apr 15, 2016
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO3610 ME Primary
Hospitalist Physician 208M00000X DO3610 ME

Addresses

Primary practice location

93 Campus Ave
Lewiston, ME 04240-6030

Mailing address

15 Mollison Way
Lewiston, ME 04240-5805
Phone (207) 777-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20230814002827 ME Practitioner - Family Practice 7315309994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Marys Regional Medical CenterGroup PAC ID 0042107120, 192 clinicians

Practice addresses (Care Compare)

93 Campus Ave
Lewiston, ME 04240-6030
Phone (207) 777-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.39 of 100Reported as group
Quality
70.14
Improvement activities
40
Cost
79.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3610MEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Medical Services of New England Inc CurrentSince Jun 24, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 25, 2024 Accepting new patients
Apogee Medical Group Maine PC CurrentSince Oct 23, 2023 Accepting new patients
St. Mary's Regional Medical Center CurrentSince Apr 25, 2024 Accepting new patients

Locations

3 Willow Run
Rm A
Auburn, ME 04210
Phone (207) 795-6800

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

15 Mollison Way
Lewiston, ME 04240
Phone (207) 777-4440

15 Mollison Way
Rm A
Lewiston, ME 04240
Phone (207) 777-4440

91 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8950

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

99 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4455

Interoperability endpoints

  • Direct secure messaging: tthomas2172897@direct.bsmhealth.org

Organizations & group practices 4

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 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1346694312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOLLISON WAY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405805",
            "telephone_number": "207-777-4440",
            "fax_number": "207-777-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 CAMPUS AVE",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406030",
            "telephone_number": "207-333-4677",
            "fax_number": "207-333-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TISON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO3610",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "DO3610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.