DR. THOMAS C NUSSDORFER M.D. NPI 1134124662

NPI Information

  • NPI: 1134124662
  • Provider Name: DR. THOMAS C NUSSDORFER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3074 N US 31 S
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 929-1234

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NPI Details

DR. Thomas C Nussdorfer, M.D. is a family medicine in Traverse City, MI with 44 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Thomas C Nussdorfer, M.D. NPI is 1134124662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

3074 N US 31 S
TRAVERSE CITY, MI
ZIP 49684-533
Phone: (231) 929-1234
Fax: (231) 935-0984

The NPI 1134124662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
  • Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent (HCPCS:G0250)
  • Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)
  • Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)

The enumeration date for this NPI number is 6/21/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4301046246MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1383530686052OTHERMICHIGANCOMMUNITY CHOICE
20B81066OTHERMICHIGANBLUE CARE NETWORK
31134124662OTHERMICHIGANTHOMAS NUSSDORFER MD
41134124662MEDICAIDMICHIGAN
5349386200OTHERMICHIGANUS POSTAL
64391565MEDICAIDMICHIGAN
7700B810660OTHERMICHIGANBLUE CARE NETWORK
8A75289OTHERMICHIGANPRIORITY HEALTH
9000000008993OTHERMICHIGANCAP HEALTH
10121591OTHERMICHIGANUNITED HEALTH
11132959OTHERMICHIGANCARE CHOICES
121851344964OTHERMICHIGANCORP NPI
13383530686OTHERMICHIGANPPOM
141134124662OTHERMICHIGANINDIVIDUAL NPI NUMBER
15080189368OTHERMICHIGANRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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