DR. THOMAS OVERHOLT (M.D.) – Hospitalist Physician, NPI 1043310568
Hospitalist Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. THOMAS OVERHOLT (M.D.)
625, Belle Terre Road, Port Jefferson, Suffolk County, New York, 11777, United States
SUITE 100
PORT JEFFERSON, NY 117772316
Phone: (631) 473-1320
Fax: (631) 686-7626
Type: Mailing
John T. Mather Memorial Hospital, 75, North Country Road, Port Jefferson, Suffolk County, New York, 11777, United States
PORT JEFFERSON, NY 117772119
Phone: (631) 686-7654
Fax: (631) 686-7653
Type: Location
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: 2007-10-10
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 |
|---|---|---|---|---|
| I20071010000374 | I | Internal Medicine | PA | 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 |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 24 | 22 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 11777)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physical Medicine And Rehabilitation | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Hospice/Palliative Care, Internal Medicine | PA | |
| Family Practice | PA | |
| A N E S T H E S I O L O G Y | PA | |
| - | PA |
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