THOMAS H TARTER (M.D.) – Surgical Oncology Physician, NPI 1114913225

THOMAS H TARTER (M.D.) is a healthcare provider. based in Decatur, Illinois. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 036092911 (IL). The NPI Number for THOMAS H TARTER (M.D.) is 1114913225

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS H TARTER (M.D.)
NPI
1114913225
Phone
(217) 876-6600
Address
210 W MCKINLEY AVE STE 1
Enumeration Date
23 September 2005
Last Update Date
29 April 2015

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
2175254150
Graduation Year
1990 (36 years ago)
PAC ID
4880728492
Group Practice PAC ID
0547166076
Professional Enrollment ID
I20100818000805
Address ID
IL626849779SH400XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

543 UROLOGY in IL

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Provider Addresses for THOMAS H TARTER (M.D.)

  • West McKinley Avenue, Decatur, Macon County, Illinois, 62526, United States

    DECATUR, IL 625265858

    Phone: (217) 876-6600

    Fax: (217) 876-6606

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 54 Open Payments records for all available years, with a total value of $1,411.

Total Amount is formed as General ($1,411) + Research ($0) + Ownership ($0) = $1,411.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($249).

Total Amount

$1,411

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100818000805IUrologyILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes537427$0
J0696Injection, ceftriaxone sodium, per 250 mg24859$0
52000Diagnostic exam of bladder and urethra using an endoscope219203$0
36415Insertion of needle into vein for collection of blood sample203166$0
99213Established patient office or other outpatient visit, 20-29 minutes201182$0
View full utilization report →

Insurance plans in this area (ZIP 62526)

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Provider's Procedures

THOMAS H TARTER (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYIL51798Ultrasound measurement of bladder capacity after voiding4644
UROLOGYIL55700Biopsy of prostate gland3030
UROLOGYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2929

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: 0547166076View full group profile

Reviews

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Frequently asked questions

How do I look up THOMAS H TARTER (M.D.) by NPI?
Use NPI 1114913225 when you need to reference THOMAS H TARTER (M.D.) in forms, claims, or directories.
Is THOMAS H TARTER (M.D.) currently active in the NPI registry?
CMS-published data lists THOMAS H TARTER (M.D.) as an active registrant.
Does THOMAS H TARTER (M.D.) list a primary specialty?
If you are matching referrals, note Surgical Oncology Physician for THOMAS H TARTER (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for THOMAS H TARTER (M.D.)?
The page summarizes Decatur, Illinois for THOMAS H TARTER (M.D.); expand the address list for detail.
What if Decatur, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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