THOMAS R. POWELL (M.D.) – Nephrology Physician, NPI 1912968520

THOMAS R. POWELL (M.D.) is a healthcare provider. based in Clairton, Pennsylvania. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD061120L (PA). The NPI Number for THOMAS R. POWELL (M.D.) is 1912968520

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS R. POWELL (M.D.)
NPI
1912968520
Phone
(412) 469-6956
Address
1200 BROOKS LANE
Enumeration Date
31 March 2006
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
0345385688
Group Practice PAC ID
4587099262
Professional Enrollment ID
I20100610000168
Address ID
PA152242254PI5171XAVEX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

738 NEPHROLOGY in PA

Provider Addresses for THOMAS R. POWELL (M.D.)

  • 1200 BROOKS LANE

    SUITE 285

    CLAIRTON, PA 150253747

    Phone: (412) 469-6956

    Fax: (412) 469-3799

    Type: Mailing

  • 1200 BROOKS LN STE 285

    CLAIRTON, PA 150253764

    Phone: (412) 384-1644

    Fax: (412) 246-4567

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $467.

Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($151).

Total Amount

$467

General + Research + Ownership

Payments

8

Total payment records

General Amount

$467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2010-06-10

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100610000168INephrologyPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes529185$0
99214Established patient office or other outpatient visit, 30-39 minutes13495$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12974$0
90935Hemodialysis procedure with physician evaluation12248$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)9315$0
View full utilization report →

Insurance plans in this area (ZIP 15025)

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Provider's Procedures

THOMAS R. POWELL (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYPA90935Hemodialysis procedure with one physician evaluation28981
NEPHROLOGYPA90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older6426

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: 4587099262View full group profile
NameSpecialtyState
Physician AssistantPA
Nephrology, Internal MedicinePA
N E P H R O L O G YPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA
Nephrology, Internal MedicinePA

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Frequently asked questions

Can I cross-check THOMAS R. POWELL (M.D.) using NPI 1912968520?
NPI 1912968520 belongs to THOMAS R. POWELL (M.D.); compare other details if you need extra assurance.
Is THOMAS R. POWELL (M.D.) shown as active in public data?
Registry records indicate THOMAS R. POWELL (M.D.) maintains an active NPI.
What expertise is attributed to THOMAS R. POWELL (M.D.)?
THOMAS R. POWELL (M.D.)'s specialty line reads Nephrology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for THOMAS R. POWELL (M.D.)?
Travel planning: use Clairton, Pennsylvania as the reference point for THOMAS R. POWELL (M.D.), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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