MICHAEL SCOTT JR. THOMAS (PA-C) – Physician Assistant, NPI 1164158929

MICHAEL SCOTT JR. THOMAS (PA-C) is a healthcare provider. based in Crestwood, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085009104 (IL). The NPI Number for MICHAEL SCOTT JR. THOMAS (PA-C) is 1164158929

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SCOTT JR. THOMAS (PA-C)
NPI
1164158929
Phone
Not provided
Address
13448 CICERO AVE
Enumeration Date
25 July 2022
Last Update Date
2 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083640261
Graduation Year
2022 (4 years ago)
PAC ID
5395121990
Group Practice PAC ID
2961305693
Professional Enrollment ID
I20221005002364
Address ID
IL604678734OR10640STXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for MICHAEL SCOTT JR. THOMAS (PA-C)

  • 13448 CICERO AVE

    CRESTWOOD, IL 604181430

    Phone:

    Type: Mailing

  • 10640 165TH ST

    ORLAND PARK, IL 604678734

    Phone: (708) 364-0261

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $2,416.

Total Amount is formed as General ($2,416) + Research ($0) + Ownership ($0) = $2,416.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($1,003).

Total Amount

$2,416

General + Research + Ownership

Payments

110

Total payment records

General Amount

$2,416

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2022-10-05

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
I20221005002364IPhysician AssistantILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes158134$0
99212Established patient office or other outpatient visit, 10-19 minutes1919$0
99214Established patient office or other outpatient visit, 30-39 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 60418)

Loading plans...

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: 2961305693View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
-IL
-IL
-IL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantIL
Nurse PractitionerIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check MICHAEL SCOTT JR. THOMAS (PA-C) using NPI 1164158929?
NPI 1164158929 belongs to MICHAEL SCOTT JR. THOMAS (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to MICHAEL SCOTT JR. THOMAS (PA-C)?
You should see MICHAEL SCOTT JR. THOMAS (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is MICHAEL SCOTT JR. THOMAS (PA-C)?
MICHAEL SCOTT JR. THOMAS (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is MICHAEL SCOTT JR. THOMAS (PA-C) registered?
Use Crestwood, Illinois as the headline location for MICHAEL SCOTT JR. THOMAS (PA-C) here.
Can I trust this NPI listing for MICHAEL SCOTT JR. THOMAS (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

13755 CICERO AVE
NPI: 1124434014

KRISTEN VELDMAN

Physician Assistant
McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60521, United States
NPI: 1043662679

CIERRA D JOHNSON (PA-C)

Physician Assistant
455 MINNESOTA CIR
NPI: 1114550308

KAITLIN NAPOLI (PA)

Physician Assistant
13217 E PLAYFIELD DR
NPI: 1265060396

EMILY SOCHA (PA-C)

Physician Assistant
5401 128TH PL
NPI: 1912650755

ELYSE FELL (PA-C)

Physician Assistant
250 S NORTHWEST HWY STE 200
NPI: 1417813478