Michael Richard Tholen, M.D.
General Practice Physician · Mount Airy, MD
Michael Richard Tholen, M.D. is a general practice physician with a practice address in Mount Airy, Maryland, and NPI 1215294434, issued on Apr 12, 2012. Check the license (Maryland D0081849, as entered in NPPES) on the Maryland Board of Physicians; the Medicare figures below come from public CMS files.
- Name
- Michael Richard Tholen
- Credential
- M.D.
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- D0081849 MD
Self-reported in NPPES; status is on the state search - Practice location
- 2406 Connor Cir, Mount Airy, MD 21771
- Phone
- (612) 850-5919
- Enumerated
- Apr 12, 2012
- Record last updated
- Mar 30, 2026
- Fax
- (301) 682-3515
- Medicare enrollment
- Enrolled (PECOS I20161212000418); accepts Medicare assignment
- Medical or professional school
- Creighton University School Of Medicine, 2012
- Entity
- Type 1 · individual
8 nearest general practice physician records → All 385 in Maryland → Look up another NPI →
Verify Michael Richard Tholen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMaryland Board of Physicians
Search for license D0081849Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
91% fewer Medicare Part D claims than the average general practice physician in 2024
270 Medicare Part D claims for 132 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims.
Most prescribed
- Prednisone52 claims
- Ibuprofen27 claims
- Azithromycin22 claims
- Amoxicillin-Clavulanate Potass21 claims
- Doxycycline Hyclate20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 18.3 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $17.91
1 payment: food and beverage; the largest payer was Novo Nordisk Inc. The 4,259 providers of this specialty with any payment received $1,273.40 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- P. Pham And J. Briggs LLCFrederick, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Michael Richard Tholen among 385 general practice physician records in Maryland
Michael Richard Tholen, M.D. is one of 385 general practice physician records with a practice address in Maryland. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 32% of them.
- NPI issued2012 · 32% of these records are older, 64% newer
- In a Medicare fileYes · 26% of these records are
- In the CMS Doctors and Clinicians fileYes · 14% of these records are
- Graduated2012 · median 1995 among the 52 with a school on file
- Record last updated2026 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Physician providers in Maryland
There are 385 general practice physician records in Maryland.
All 385 in Maryland → Every provider in Mount Airy → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Marianne Rothschild, M.D.Mount Airy, MD 217711285974980
- Donald Hayes, M.D.Eldersburg, MD 217841972698942
- Lily Nwaka-Oraegbu, MDSykesville, MD 217841922189778
- Maria Reyes-Soto, MDSykesville, MD 217841912963547
- Rose Chan, M.D.Hagerstown, MD 217421447231121
- Carmina Marie Rogelio, MDHagerstown, MD 217421205521507
- Louis Himes, MDSalisbury, MD 218011053476739
- James Isaacs, M.D.Salisbury, MD 218011548483332
Common questions
What is Michael Richard Tholen, M.D.'s NPI number?
Michael Richard Tholen, M.D.'s National Provider Identifier (NPI) is 1215294434, issued on Apr 12, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Michael Richard Tholen, M.D. located?
The NPPES record lists a practice address at 2406 Connor Cir, Mount Airy, MD, 21771. Phone: (612) 850-5919. Providers update this record themselves, so call before visiting.
How can I verify Michael Richard Tholen, M.D.'s license?
NPPES lists Maryland license number D0081849, as entered by the provider. Search the Maryland Board of Physicians at https://www.mbp.state.md.us/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Michael Richard Tholen, M.D. prescribe under Medicare Part D?
In 2024, Michael Richard Tholen, M.D. had 270 Medicare Part D claims for 132 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.
What is Michael Richard Tholen, M.D.'s MIPS final score?
The 2023 MIPS final score is 18.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.