KEITH R THOMAE (M.D.) – Surgery Physician, NPI 1184679409
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
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Provider Addresses for KEITH R THOMAE (M.D.)
West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States of America
STE 305
MARION, IL 629595898
Phone: (314) 838-6600
Fax: (314) 838-6611
Type: Mailing
Dunn Road, Grandview Gardens Apartments, Florissant, Saint Louis County, Missouri, 63031:63042, United States
SUITE 210
FLORISSANT, MO 630336761
Phone: (314) 838-6600
Fax: (314) 838-6611
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $2,612.
Total Amount is formed as General ($2,612) + Research ($0) + Ownership ($0) = $2,612.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: TELA Bio, Inc. ($1,669).
Total Amount
$2,612
General + Research + Ownership
Payments
26
Total payment records
General Amount
$2,612
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $1,669 |
| Kerecis Limited | $234 |
| Endogastric Solutions, Inc | $230 |
| TAS Medical, Inc. | $168 |
| Novartis Pharmaceuticals Corporation | $135 |
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: 2024-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150908002710 | I | General Surgery | IN | TBD |
| I20200930002433 | I | General Surgery | AR | TBD |
| I20241219000599 | I | General Surgery | TN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 293 | 111 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 143 | 133 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 121 | 59 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 69 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 54 | 51 | $0 |
Insurance plans in this area (ZIP 62959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | TN | |
| General Surgery | TN | |
| Family Practice | TN | |
| Family Practice | TN | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | TN | |
| - | TN | |
| General Surgery | TN | |
| Physician Assistant | MS | |
| - | TN | |
| Physician Assistant | TN |
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