THOMAS B. SKIDMORE MD NPI 1194905752

NPI Information

  • NPI: 1194905752
  • Provider Name: THOMAS B. SKIDMORE, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1250 E 3900 S STE 10
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 456-8401

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NPI Details

Thomas B. Skidmore, MD is a radiation oncology radiology in Salt Lake City, UT with 19 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Thomas B. Skidmore, MD NPI is 1194905752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

1250 E 3900 S STE 10
SALT LAKE CITY, UT
ZIP 84124-354
Phone: (801) 456-8401

The NPI 1194905752 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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • High dose radiation therapy, more than 12 channels (HCPCS:77772)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Complex radiation therapy planning (HCPCS:77263)
  • Special medical radiation therapy consultation (HCPCS:77370)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Design and construction of simple radiation treatment device (HCPCS:77332)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • 3d radiation therapy planning (HCPCS:77295)
  • High precision radiation therapy planning (HCPCS:77301)
  • Special radiation treatment (HCPCS:77470)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Use of interstitial probe generated heat to increase temperature of cancer cell, more than 5 probes (HCPCS:77615)
  • Placement of device in prostate for radiation therapy (HCPCS:55876)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection of biodegradable material next to prostate (HCPCS:55874)
  • Complex radiation therapy planning for delivery of internal radiation (HCPCS:77318)

The enumeration date for this NPI number is 11/11/2007 and was last updated on 5/7/2020.

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
12085R0001XRadiologyRadiation Oncology8281461-1205UTAHYes

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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