NPIMap

Individual provider Active NPI

Thomas J. Gillon, MD

  • Orthopaedic Hand Surgery Physician
  • King of Prussia, PA
National Provider Identifier
1528234168
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD433826 Issued in PA
Practice address
950 Pulaski Dr Ste 100
King of Prussia, PA 19406-2802
Phone
(610) 768-5940
Fax
(610) 768-5947
NPI assigned
May 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD433826 PA
Orthopaedic Hand Surgery Physician 207XS0106X MD433826 PA Primary

Addresses

Primary practice location

950 Pulaski Dr Ste 100
King of Prussia, PA 19406-2802

Mailing address

950 Pulaski Dr Ste 100
King of Prussia, PA 19406-2802
Phone (610) 768-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090825000330 PA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8426102518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

834 Chestnut St
Suite G114
Philadelphia, PA 19107-5114
Phone (215) 521-3001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)60
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433826PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fka PHC, LLP Hand Surgery CurrentSince Dec 1, 2012 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
Orthopedic Sports & Arthritis Surgery Orthopaedic Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

700 S Henderson Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 768-4460

950 Pulaski Dr
#100
Kng of Prussa, PA 19406
Phone (610) 768-4466

834 Chestnut St
Ste G114
Philadelphia, PA 19107
Phone (215) 521-3000

120 Huntingdon Pike
Ste 100
Rockledge, PA 19046
Phone (215) 663-1208

Interoperability endpoints

  • Direct secure messaging: thomas.gillon.1@22724.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1528234168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PULASKI DR STE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062802",
            "telephone_number": "610-768-5940",
            "fax_number": "610-768-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PULASKI DR STE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062802",
            "telephone_number": "610-768-5940",
            "fax_number": "610-768-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLON",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-04",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD433826",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "PA",
            "license": "MD433826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.