Michael Richard Tholen, M.D.
NPI 1215294434ActiveIndividual· General Practice· Mount Airy, MD
General Practice (M.D.) in Mount Airy, Maryland, trained at Creighton University School of Medicine (class of 2012). 57 Medicare patients in 2024, $7,269 paid; nearly all of their 270 Part D prescriptions were generic (96%). Exact Sciences Corporation reported $36.41 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1215294434 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 12, 2012 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | D0081849 | MD |
| Emergency Medicine | 207P00000X | D0081849 | MD |
| Family Medicine | 207Q00000X | D0081849 | MD |
| Surgery | 208600000X | D0081849 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (DC); Practitioner - General Practice (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 154 across 25 procedure codes |
| Paid by Medicare | $7,269 |
Part D prescriptions in 2024
| Prescriptions (claims) | 270 · 277 30-day fills |
|---|---|
| Patients | 132 |
| Total drug cost | $4,112 |
| Generic share | 96% of claims |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | General Practice |
Medical group
- P. Pham and J. Briggs LLCFrederick, MD · 2 clinicians
Industry payments (Open Payments)
- 2025$36.41 · 2 payments from 1 company
- 2024$17.91 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $36.41 | 2 |
What the 2025 payments were for
- Food and Beverage$36.41 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general practitioners in Mount Airy
- 1285974980