MR. ROBERT LEE IV THOMAS (MD) – Surgery Physician, NPI 1619978327
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
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Provider Addresses for MR. ROBERT LEE IV THOMAS (MD)
123, North 19th Street, Middlesboro, Middlesborough, Bell County, Kentucky, 40965, United States
SUITE B301
MIDDLESBORO, KY 409652865
Phone: (606) 248-7509
Type: Location
PO BOX 340
MIDDLESBORO, KY 409650340
Phone: (606) 278-7509
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $8,978.
Total Amount is formed as General ($8,978) + Research ($0) + Ownership ($0) = $8,978.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,938).
Total Amount
$8,978
General + Research + Ownership
Payments
20
Total payment records
General Amount
$8,978
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $8,938 |
| Paratek Pharmaceuticals, Inc. | $23 |
| PolyNovo North America LLC | $18 |
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: 2012-01-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120120000347 | I | General Surgery | KY | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 19 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 19 | 14 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 16 | 16 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 15 | 15 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 14 | 14 | $0 |
Insurance plans in this area (ZIP 40965)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | KY | 45385 | Removal of polyps or growths of large bowel using an endoscope | 15 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | KY | |
| P O D I A T R Y | FL | |
| Diagnostic Radiology | KY | |
| Emergency Medicine, Family Practice | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Internal Medicine | KY | |
| Physician Assistant | KY | |
| Internal Medicine | KY | |
| - | KY |
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