ROBERT THOMAS (DO) – Family Medicine Physician, NPI 1447633888

ROBERT THOMAS (DO) is a healthcare provider. based in Quincy, Illinois. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 125067817 (IL). The NPI Number for ROBERT THOMAS (DO) is 1447633888

Main info

Male
Sole Proprietor
11 Years Of Experience
Name
ROBERT THOMAS (DO)
NPI
1447633888
Phone
(217) 224-9484
Address
612 N 11TH ST
Enumeration Date
2 July 2015
Last Update Date
2 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172238400
Graduation Year
2015 (11 years ago)
PAC ID
0042524209
Group Practice PAC ID
2769420959
Professional Enrollment ID
I20180725000200
Address ID
IL623631350PI640XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for ROBERT THOMAS (DO)

  • 612 N 11TH ST

    QUINCY, IL 623012662

    Phone: (217) 224-9484

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-07-25

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
I20171027000077IFamily PracticeMOTBD
I20180725000200IFamily PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62301)

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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: 2769420959View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Emergency MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Emergency MedicineIL
-IL
Nurse PractitionerIL
Family PracticeIN
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up ROBERT THOMAS (DO) by NPI?
Use NPI 1447633888 when you need to reference ROBERT THOMAS (DO) in forms, claims, or directories.
Is ROBERT THOMAS (DO) active in the national directory?
ROBERT THOMAS (DO)'s public NPI profile is in an active state.
Does ROBERT THOMAS (DO) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for ROBERT THOMAS (DO). Clinical services aligned with this taxonomy classification.
What location shows for ROBERT THOMAS (DO)?
We surface Quincy, Illinois for ROBERT THOMAS (DO) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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