DR. THOMAS MICHAEL HULSEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1417060542

DR. THOMAS MICHAEL HULSEN (M.D.) is a healthcare provider. based in Maryville, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. The NPI Number for DR. THOMAS MICHAEL HULSEN (M.D.) is 1417060542

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS MICHAEL HULSEN (M.D.)
NPI
1417060542
Phone
(618) 288-5699
Address
6810 STATE ROUTE 162
Enumeration Date
15 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
6182885699
Graduation Year
1999 (27 years ago)
PAC ID
5597663864
Group Practice PAC ID
4082511027
Professional Enrollment ID
I20031223000468
Address ID
IL620620000MA6812X162X404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,923 OBSTETRICS/GYNECOLOGY in IL

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Provider Addresses for DR. THOMAS MICHAEL HULSEN (M.D.)

  • 6810, State Route 162, Maryville, Madison County, Illinois, 62062, United States

    SUITE 301

    MARYVILLE, IL 620628501

    Phone: (618) 288-5699

    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 141 Open Payments records for all available years, with a total value of $2,023.

Total Amount is formed as General ($2,023) + Research ($0) + Ownership ($0) = $2,023.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($367).

Total Amount

$2,023

General + Research + Ownership

Payments

141

Total payment records

General Amount

$2,023

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2003-12-23

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
I20031223000468IObstetrics/GynecologyILTBD

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
81002Urinalysis, manual test4541$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3333$0
G0328Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous3333$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1515$0
View full utilization report →

Insurance plans in this area (ZIP 62062)

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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: 4082511027View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What is DR. THOMAS MICHAEL HULSEN (M.D.)'s NPI number?
DR. THOMAS MICHAEL HULSEN (M.D.)'s NPI is 1417060542 — the number used across U.S. healthcare to identify this provider.
Is DR. THOMAS MICHAEL HULSEN (M.D.) shown as active in public data?
Registry records indicate DR. THOMAS MICHAEL HULSEN (M.D.) maintains an active NPI.
What area of care is associated with DR. THOMAS MICHAEL HULSEN (M.D.)?
DR. THOMAS MICHAEL HULSEN (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is DR. THOMAS MICHAEL HULSEN (M.D.) registered?
Use Maryville, Illinois as the headline location for DR. THOMAS MICHAEL HULSEN (M.D.) here.
Can I trust this NPI listing for DR. THOMAS MICHAEL HULSEN (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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