NPIMap

Individual provider Active NPI

Robert Lee Thomas IV, MD

  • Surgery Physician
  • Middlesboro, KY
National Provider Identifier
1619978327
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12835 Issued in TN
Practice address
123 N 19TH St
Suite B301
Middlesboro, KY 40965-2865
Phone
(606) 248-7509
NPI assigned
Aug 3, 2005
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12835 TN Primary

Addresses

Primary practice location

123 N 19TH St
Suite B301
Middlesboro, KY 40965-2865

Mailing address

PO Box 340
Middlesboro, KY 40965-0340
Phone (606) 278-7509

Other identifiers 2

IdentifierTypeStateIssuer
64254337MedicaidKY
3028439MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20120120000347 KY Practitioner - General SurgeryPractitioner - Orthopedic Surgery 6800868696 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Tennessee, HSC, College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, shared by 19 NPIs, 87 clinicians

Practice addresses (Care Compare)

3504 W Cumberland Ave
Middlesboro, KY 40965-2612
Phone (606) 248-0737

80 Hospital Dr
Barbourville, KY 40906-7363

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12835TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Apr 23, 2018 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Jul 22, 2012 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Jul 22, 2012 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Apr 23, 2018 Accepting new patients
DRS Rose and Thomas Surgery PastSince Apr 7, 2008 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
DRS Rose & Thomas Surgery Past Accepting new patients
Downtown Radiology Inc Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Surgery Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

80 Hospital Dr
#2
Barbourville, KY 40906
Phone (606) 545-4460

3004 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-3324

3504 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 248-0737

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1740

Interoperability endpoints

  • Direct secure messaging: robertthomas@arh.medalliesdirect.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1619978327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409650340",
            "telephone_number": "606-278-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N 19TH ST",
            "address_2": "SUITE B301",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652865",
            "telephone_number": "606-248-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "12835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64254337",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3028439",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.