DR. STEPHANIE CHAMBERS THOMAS (M.D.) – Emergency Medicine Physician, NPI 1043520489
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. STEPHANIE CHAMBERS THOMAS (M.D.)
190 S HIGHWAY 165
PROVIDENCE, UT 843329512
Phone: (435) 755-3300
Fax: (435) 755-3332
Type: Mailing
465 MEMORIAL DR
POCATELLO, ID 832014008
Phone: (208) 282-4700
Type: Location
HC 35 BOX 82
KENILWORTH, UT 845299511
Phone:
Type: Mailing
300 N HOSPITAL DR
PRICE, UT 845014218
Phone: (435) 637-4800
Type: Location
1700 W Stout St
Rice Lake, WI 548685000
Phone: (715) 236-8100
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: 2023-06-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20140228001861 | I | Family Practice | UT | TBD |
| I20200710001094 | I | Family Practice | TX | TBD |
| I20230608002689 | I | Emergency Medicine | ND | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 230 | 213 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 107 | 95 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 74 | 69 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 21 | 21 | $0 |
Insurance plans in this area (ZIP 84332)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| - | WA | |
| Emergency Medicine | AZ | |
| Physician Assistant | ND | |
| Physician Assistant | MN | |
| Family Practice, Internal Medicine | UT | |
| Diagnostic Radiology | AK | |
| O P T O M E T R Y | OR | |
| Family Practice | AK | |
| - | AK |
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