DR. THOMAS WALDON STATON (M.D.) – Family Medicine Physician, NPI 1306825500

DR. THOMAS WALDON STATON (M.D.) is a healthcare provider. based in Metropolis, Illinois. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036086549 (IL). The NPI Number for DR. THOMAS WALDON STATON (M.D.) is 1306825500

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS WALDON STATON (M.D.)
NPI
1306825500
Phone
(618) 524-8381
Address
28 CHICK ST STE 100
Enumeration Date
16 January 2006
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6185248381
Graduation Year
1990 (36 years ago)
PAC ID
4284784653
Group Practice PAC ID
3072422799
Professional Enrollment ID
I20120314000211
Address ID
IL629602467ME28XXXSTXX301

Contacts

Secure Messaging
tstaton8908@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

5,041 FAMILY PRACTICE in IL

Provider Addresses for DR. THOMAS WALDON STATON (M.D.)

  • 28 CHICK ST STE 100

    METROPOLIS, IL 629602467

    Phone: (618) 524-8381

    Fax: (618) 638-1316

    Type: Mailing

  • 1203, West 10th Street, Metropolis, Massac County, Illinois, 62960, United States

    METROPOLIS, IL 629602433

    Phone: (618) 524-3795

    Fax: (618) 524-3211

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 148 Open Payments records for all available years, with a total value of $2,554.

Total Amount is formed as General ($2,554) + Research ($0) + Ownership ($0) = $2,554.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Lilly USA, LLC ($428).

Total Amount

$2,554

General + Research + Ownership

Payments

148

Total payment records

General Amount

$2,554

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

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: 2012-03-14

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
I20090604000577IFamily PracticeILTBD
I20120314000211IFamily PracticeKYTBD

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 minutes945460$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit396396$0
96372Injection of drug or substance under skin or into muscle16839$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg15226$0
99214Established patient office or other outpatient visit, 30-39 minutes147132$0
View full utilization report →

Insurance plans in this area (ZIP 62960)

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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: 3072422799View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Physician AssistantTN
O T O L A R Y N G O L O G YKY
Family PracticeIL
Family PracticeGA
P S Y C H I A T R YIN

Reviews

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Frequently asked questions

Can I verify DR. THOMAS WALDON STATON (M.D.) with an NPI only?
You can start verification with NPI 1306825500 for DR. THOMAS WALDON STATON (M.D.), then check state licensing separately.
Is DR. THOMAS WALDON STATON (M.D.) still practicing?
DR. THOMAS WALDON STATON (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. THOMAS WALDON STATON (M.D.)?
For research purposes, treat DR. THOMAS WALDON STATON (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. THOMAS WALDON STATON (M.D.) list a practice location?
Patients near Metropolis, Illinois may find DR. THOMAS WALDON STATON (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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