ERIC OMAR THEN (MD) – Gastroenterology Physician, NPI 1336677798

ERIC OMAR THEN (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. ME168423 (FL). The NPI Number for ERIC OMAR THEN (MD) is 1336677798

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ERIC OMAR THEN (MD)
NPI
1336677798
Phone
Not provided
Address
PO BOX 945385
Enumeration Date
30 May 2017
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3869434522
Graduation Year
2015 (11 years ago)
PAC ID
3173999034
Group Practice PAC ID
7012266836
Professional Enrollment ID
I20240625004025
Address ID
FL327203236DE701XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,475 GASTROENTEROLOGY in FL

Provider Addresses for ERIC OMAR THEN (MD)

  • PO BOX 945385

    ATLANTA, GA 303945385

    Phone:

    Type: Mailing

  • 1070 N STONE ST STE D

    DELAND, FL 327200824

    Phone: (386) 822-9112

    Type: Location

  • 4422, 3rd Avenue, The Bronx, Bronx County, New York, 10457, United States

    BRONX, NY 104572545

    Phone: (718) 960-6211

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $797.

Total Amount is formed as General ($797) + Research ($0) + Ownership ($0) = $797.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Boston Scientific Corporation ($247).

Total Amount

$797

General + Research + Ownership

Payments

19

Total payment records

General Amount

$797

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230510002868IGastroenterologyMATBD
I20240625004025IGastroenterologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito2424$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare1111$0
View full utilization report →

Insurance plans in this area (ZIP 30394)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012266836View full group profile
NameSpecialtyState
-FL
U R O L O G YFL
G A S T R O E N T E R O L O G YFL
Thoracic SurgeryFL
Nurse PractitionerGA
Internal MedicineNY
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineFL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What unique ID ties claims to ERIC OMAR THEN (MD)?
NPI 1336677798 is assigned to ERIC OMAR THEN (MD) under the national enumeration system.
Is ERIC OMAR THEN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ERIC OMAR THEN (MD) work in?
You can think of ERIC OMAR THEN (MD) as practicing within Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place ERIC OMAR THEN (MD)?
The snapshot lists Atlanta, Georgia for ERIC OMAR THEN (MD); download NPPES for the complete set.
Is ERIC OMAR THEN (MD) a real provider?
This page reflects official NPPES data for NPI 1336677798. Always confirm identity and privileges with the practice and licensing boards.

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