THOMAS JOHN KNUTSON (MD) – Psychiatry Physician, NPI 1003109745

THOMAS JOHN KNUTSON (MD) is a healthcare provider. based in Biloxi, Mississippi. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 25255 (MS). The NPI Number for THOMAS JOHN KNUTSON (MD) is 1003109745

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS JOHN KNUTSON (MD)
NPI
1003109745
Phone
(228) 388-0600
Address
180 DEBUYS RD
Enumeration Date
26 May 2011
Last Update Date
1 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6603594487
Graduation Year
2008 (18 years ago)
PAC ID
1759684939
Group Practice PAC ID
5092766204
Professional Enrollment ID
I20160121001681
Address ID
MO646831178TR1601XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:15State licenses:3Digital endpointsOther names

819 PSYCHIATRY in MO

Provider Addresses for THOMAS JOHN KNUTSON (MD)

  • 180 DEBUYS RD

    BILOXI, MS 395314402

    Phone: (228) 388-0600

    Fax: (228) 388-0620

    Type: Mailing

  • 1100 N KENTUCKY AVE

    WEST PLAINS, MO 657752029

    Phone: (417) 257-6786

    Type: Location

  • 7500 N DREAMY DRAW DR STE 145

    PHOENIX, AZ 850204668

    Phone: (480) 882-4545

    Fax: (480) 882-5814

    Type: Mailing

  • 11851 N 51ST AVE

    GLENDALE, AZ 853042809

    Phone: (480) 882-4545

    Fax: (480) 882-5814

    Type: Location

  • PO BOX 30

    TRENTON, MO 646830030

    Phone: (660) 359-4487

    Fax: (660) 359-4487

    Type: Mailing

  • 1601 E 28TH ST

    TRENTON, MO 646831178

    Phone: (660) 359-4487

    Fax: (660) 359-2958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $349.

Total Amount is formed as General ($349) + Research ($0) + Ownership ($0) = $349.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($194).

Total Amount

$349

General + Research + Ownership

Payments

22

Total payment records

General Amount

$349

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2022-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20160121001681IPsychiatryMOTBD
I20170815002725IPsychiatryCTTBD
I20171201002147IPsychiatryAZTBD
I20191125001809IPsychiatryNETBD
I20220405003232IPsychiatryUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3414$0
View full utilization report →

Insurance plans in this area (ZIP 39531)

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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: 5092766204View full group profile
NameSpecialtyState
Clinical Social WorkerMO
-MO
-MO
Nurse PractitionerMO
Mental Health CounselorMO
Mental Health CounselorMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Family PracticeMO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

What NPI should I save for THOMAS JOHN KNUTSON (MD)?
Save NPI 1003109745 if you need a stable reference for THOMAS JOHN KNUTSON (MD).
Does this profile mean THOMAS JOHN KNUTSON (MD) is currently active?
Yes — THOMAS JOHN KNUTSON (MD) appears active in the national provider directory.
Does THOMAS JOHN KNUTSON (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for THOMAS JOHN KNUTSON (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for THOMAS JOHN KNUTSON (MD)?
The page summarizes Biloxi, Mississippi for THOMAS JOHN KNUTSON (MD); expand the address list for detail.
Is THOMAS JOHN KNUTSON (MD) a real provider?
This page reflects official NPPES data for NPI 1003109745. Always confirm identity and privileges with the practice and licensing boards.

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