NPPES file of Aug 9, 2026

Thomas Ence, M.D.

Emergency Medicine Physician · Brawley, CA

Thomas Ence, M.D. is an emergency medicine physician with a practice address in Brawley, California, and NPI 1821418559, issued on Apr 21, 2014. Check the license (California A137679, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1821418559
Name
Thomas Ence
Credential
M.D.
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
A137679 CA
Self-reported in NPPES; status is on the state search
Practice location
207 W Legion RD, Brawley, CA 92227
Phone
(760) 351-3333
Enumerated
Apr 21, 2014
Record last updated
Jun 29, 2018 (not updated in 8 years: call before relying on the address or phone)
Fax
(760) 351-4489
Medicare enrollment
Enrolled (PECOS I20170614000130); accepts Medicare assignment
Medical or professional school
Baylor College Of Medicine, 2014
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 207 W Legion RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Maria Jeana Acabal, CRNACertified Registered Nurse Anesthetist1629369517
  2. Teresa Alcantara, CRNACertified Registered Nurse Anesthetist1073844304
  3. Michael Berger, M.D.Emergency Medicine Physician1821109851
  4. Michael Bishop, D.O.Emergency Medicine Physician1497865364
  5. Vincent Chiu, M.D.Anesthesiology Physician1932217486
  6. Glenn Clark, CRNACertified Registered Nurse Anesthetist1568632982

Verify Thomas Ence in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license A137679
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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80% more Medicare Part D claims than the average emergency medicine physician in 2024

406 Medicare Part D claims for 276 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 41 claims were for opioids.

  1. Thomas Ence406
  2. Specialty average226

Most prescribed

  1. Cefuroxime71 claims
  2. Naproxen39 claims
  3. Doxycycline Hyclate24 claims
  4. Prednisone21 claims
  5. Ondansetron Odt18 claims
  6. Hydrocodone-Acetaminophen14 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 practice group's MIPS final score for 2023 (Medicare payment program): 94.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.7
  2. Costout of 100 · 30%97.1
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $121.14

2 payments; by number, the most common kind was education; the largest payer was Csl Behring. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Thomas Ence$121.14
  2. Specialty average$953.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Cep America - CaliforniaBrawley, CA
  2. Team Physicians OF Northern California Medical Group IncLa Mesa, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Thomas Ence among 7,751 emergency medicine physician records in California

Thomas Ence, M.D. is one of 7,751 emergency medicine physician records with a practice address in California. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 69% of them.

  • NPI issued2014 · 69% of these records are older, 28% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2014 · median 2011 among the 4,560 with a school on file
  • Record last updated2018 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

6 emergency medicine physician records list a practice address in Brawley

They are 6 of the 288 NPPES records with a practice address in Brawley, and 7,751 emergency medicine physician records in California.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Michael Berger, M.D.Brawley, CA 922271821109851
  2. Michael Bishop, D.O.Brawley, CA 922271497865364
  3. Stacy Gomez, M.D.Brawley, CA 922271437412384
  4. Young Lee, M.D.Brawley, CA 922271235233610
  5. James Nelson, M.DBrawley, CA 922271336155605
  6. Richard Whitehurst, D.O.Beaumont, CA 922231972540508
  7. Rita Chang, MDBanning, CA 922201871951798
  8. Ludwig Cibelli, M.DBanning, CA 922201437198025

Common questions

What is Thomas Ence, M.D.'s NPI number?

Thomas Ence, M.D.'s National Provider Identifier (NPI) is 1821418559, issued on Apr 21, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Thomas Ence, M.D. located?

The NPPES record lists a practice address at 207 W Legion RD, Brawley, CA, 92227. Phone: (760) 351-3333. Providers update this record themselves, so call before visiting.

How can I verify Thomas Ence, M.D.'s license?

NPPES lists California license number A137679, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Thomas Ence, M.D. prescribe under Medicare Part D?

In 2024, Thomas Ence, M.D. had 406 Medicare Part D claims for 276 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Thomas Ence, M.D.'s MIPS final score?

The 2023 MIPS final score is 94.6 of 100, reported for the practice group. 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.