Individual provider Active NPI

Thomas P Peller, M.D.

  • Gastroenterology Physician
  • Eau Claire, WI
National Provider Identifier
1497715726
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34997 Issued in WI
Practice address
714 W Hamilton Ave
Eau Claire, WI 54701-6937
Phone
(715) 830-9990
Fax
(715) 830-9995
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34997 WI Primary

Addresses

Primary practice location

714 W Hamilton Ave
Eau Claire, WI 54701-6937

Mailing address

714 W Hamilton Ave
Eau Claire, WI 54701-6937
Phone (715) 830-9990

Other identifiers 1

IdentifierTypeStateIssuer
32016000MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpeller83210@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20060131000282 WI Practitioner - Gastroenterology 9830103746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Minnesota Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eau Claire Gi Associates SCGroup PAC ID 0244232502, 7 clinicians

Practice addresses (Care Compare)

714 W Hamilton Ave
Eau Claire, WI 54701-6937
Phone (715) 830-9990

Hospital & facility affiliations

  • Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy87
Upper gastrointestinal (GI) endoscopy for acid reflux37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34997WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eau Claire Gi Associates SC Gastroenterology CurrentSince Mar 14, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 5, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 5, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 5, 2021 Accepting new patients
Michael J Smith MD SC Current Accepting new patients

Locations

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

4109 Oakwood Hills Pkwy
Eau Claire, WI 54701
Phone (715) 552-7303

714 W Hamilton Ave
Eau Claire, WI 54701
Phone (715) 830-9990

3940 Oakwood Hills Pkwy
Ste 2
Eau Claire, WI 54701
Phone (715) 552-7303

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Interoperability endpoints

  • Direct secure messaging: thomas.peller@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: tpeller30062@oakleafmed.gardenplot.direct-ci.com
  • Direct secure messaging: tpeller83210@ewd.direct.hshs.org
  • Direct secure messaging: thomas.peller@cumberland-directmessage.com

Organizations & group practices 5

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 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1497715726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016937",
            "telephone_number": "715-830-9990",
            "fax_number": "715-830-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016937",
            "telephone_number": "715-830-9990",
            "fax_number": "715-830-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLER",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "34997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32016000",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpeller83210@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "714 W Hamilton Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.