DR. IAN STEPHON THOMAS (MD) – Family Medicine Physician, NPI 1083241228
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for DR. IAN STEPHON THOMAS (MD)
2010 ARLINGTON AVE APT 8
TOLEDO, OH 436091962
Phone: (616) 204-9679
Type: Mailing
7045 LIGHTHOUSE WAY
PERRYSBURG, OH 435517000
Phone: (419) 873-6836
Type: Location
960 MASS AVE STE 2
BOSTON, MA 021182690
Phone:
Type: Mailing
1250 COLUMBIA AVE E
BATTLE CREEK, MI 490145159
Phone: (269) 883-6052
Type: Location
11 Melnea Cass Blvd
Boston, MA 021194401
Phone: (617) 414-2080
Type: Location
300 Longwood Ave
Boston, MA 021155724
Phone: (617) 355-6000
Type: Location
7045 Lighthouse Way
Perrysburg, OH 435517000
Phone: (419) 873-6836
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: 2024-12-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221007000960 | I | Sports Medicine | MI | TBD |
| I20241220002102 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 17 | $0 |
Insurance plans in this area (ZIP 43609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Nurse Practitioner | MI | |
| O P T O M E T R Y | MI | |
| Certified Nurse Midwife (Cnm) | MI | |
| - | MI | |
| P S Y C H I A T R Y | TN | |
| P O D I A T R Y | MI |
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