2026 NPPES data Gastroenterology Physician NPI 1508894486 MD
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THOMAS HSIA, MD

Gastroenterology Physician in SANTA MARIA, California. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
775
Medicare Part D claims · 202 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
84.3571/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$990.97
54 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS HSIA, MD reported a CMS MIPS final score of 84.3571/100 — above the 83.1 national average — and filed 775 Medicare Part D claims in 2023.

84.3571/100
MIPS score · +1 vs avg
775
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

THOMAS HSIA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

84 45th percentile higher than 45% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

THOMAS HSIA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about THOMAS HSIA, MD?

Near national average

NPI registry status

Active

Issued 06/29/2006

NPI 1508894486

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

775 7% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

84.3571/100 1.2571000000000083% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Gastroenterology Physician compares to other specialties among California providers

California providers

Gastroenterology Physician share within California

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within California

Medicare quality performance — MIPS

THOMAS HSIA, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
84.3571/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 84.3571/100 vs national avg 83.1

0%100%National avg83%84.4%
MIPS final score (Gastroenterology Physician) — 84.3571/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

THOMAS HSIA, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 361 TOWN CENTER WEST SUITE 101, SANTA MARIA, CA, 93458, with a listed phone of (805) 922-6581. NPI 1508894486 was issued on 06/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HSIA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 775 prescription claims written by this provider, covering 202 Medicare beneficiaries and totaling roughly $385K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.3571/100 for the 2023 performance year (Quality 84.8155, Cost 64.3), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

361 TOWN CENTER WEST SUITE 101
SANTA MARIA, CA 93458

Provider Details

NPI 1508894486
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 06/29/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

84.3571
Final Score
Avg: 83.1
84.8155
Quality
64.3
Cost
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THOMAS HSIA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SANTA MARIA GASTROENTEROLOGY MEDICAL GROUP INC.
SANTA MARIA, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for THOMAS HSIA, MD. Source: openpaymentsdata.cms.gov.

Total received

$991

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to THOMAS HSIA, MD. To verify THOMAS HSIA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

775
Total Claims
$385K
Total Drug Cost
202
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,216
Total Day Supply
34,779
Generic Drug Cost
$35K
Antibiotic Claims
46

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.23
Gender Split
59% female / 41% male
Age Distribution
<65: 30, 65-74: 90, 75-84: 64, 85+: 18

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What THOMAS HSIA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Famotidine
213
Omeprazole
70
Sucralfate
65
Pantoprazole Sodium
36
Linzess
Linaclotide
31
Dicyclomine Hcl
25
Creon
Lipase/Protease/Amylase
19
Lactulose
18
Mesalamine
18
Xifaxan
Rifaximin
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gastroenterology Physician Overview

How THOMAS HSIA, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

THOMAS HSIA, MD's 775 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as HSIA.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS HSIA, MD's specialty?
THOMAS HSIA, MD specializes in Gastroenterology Physician and practices in SANTA MARIA, California. Credentials: MD.
How much does THOMAS HSIA, MD prescribe under Medicare Part D?
In 2023, THOMAS HSIA, MD wrote 775 Medicare Part D claims totaling $385K in drug costs for 202 beneficiaries.
What is THOMAS HSIA, MD's Medicare quality score?
THOMAS HSIA, MD has a CMS MIPS Final Score of 84.3571/100 (Quality: 84.8155, Cost: 64.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS HSIA, MD located?
THOMAS HSIA, MD is located at 361 TOWN CENTER WEST SUITE 101, SANTA MARIA, CA, 93458. Phone: (805) 922-6581.
What is THOMAS HSIA, MD's NPI number?
THOMAS HSIA, MD's National Provider Identifier (NPI) is 1508894486, issued on 06/29/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does THOMAS HSIA, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS HSIA, MD's most frequently prescribed drugs include Famotidine, Omeprazole, Sucralfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS HSIA, MD accept Medicare?
THOMAS HSIA, MD appears in CMS Medicare data with 775 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS HSIA, MD's credentials?
THOMAS HSIA, MD's NPI is 1508894486 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology