Jacob K. Thomas, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2012003514 Issued in MO

Practice address

1265 E Primrose St
Springfield, MO 65804-4278

Phone

(417) 886-3937

Fax

(417) 886-1285

NPI assigned

Jun 5, 2008

Last updated

Jun 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Ophthalmology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mattax Neu Prater Eye Center IncGroup PAC ID 6103713979, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.85 of 100Reported as group

Quality

63.56

Promoting interoperability

100

Improvement activities

40

Cost

72.62

Merit-based Incentive Payment System (MIPS)

Final score

91.25 of 100Reported as group

Quality

95

Improvement activities

40

Cost

77.49

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.thomas@cernerdirect.coxhealth.com
• Direct secure messaging: jthomas@mnpeyecenter.direct.eyemdemr.com

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.

• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Lebanon, MO
  • NPI 1528163300
  Medicare reassignment NPD
• Mattax Neu Prater Eye Center, Inc.

  • Ophthalmology Physician
  • Springfield, MO
  • NPI 1790745313
  Medicare reassignment NPD
• Mattax Neu Prater Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Springfield, MO
  • NPI 1386604908
  Medicare reassignment NPD
• Mattax Neu Prater Eye Center Inc

  • Eyewear Supplier
  • Monett, MO
  • NPI 1790888634
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1538328489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACOB",
        "middle_name": "K.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N1182",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2012003514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407856263",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Thomas
• Desiree Veronica Thomas, MA, LPC
• Diana Deshawn Thomas, MAADAC1, CPS
• Diane E Thomas, CRNA
• Emily S Thomas, OD
• Leah Thomas
• Leanna Thomas
• Linda Karen Thomas, LCSW
• M. Annette Thomas, LPT
• Tyler D Thomas, M.D.

• Ophthalmology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Ophthalmology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.

Verify at the official NPI Registry.