MR. THOMAS CALVIN DIMARTINO MD
NPI 1003809542
Family Medicine in Edenton, NC

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
201 VIRGINIA RD, EDENTON, NC 27932(252) 482-2116(252) 482-4874 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Thomas Calvin Dimartino Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THOMAS CALVIN DIMARTINO MD (NPI 1003809542) is an individual family medicine provider in Edenton, North Carolina, licensed in North Carolina (9401171) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Bertie Hospital, and is a graduate of Meharry Medical College School Of Medicine (1990).

NPPES Registry Identity

NPI1003809542
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. THOMAS CALVIN DIMARTINOCredential: MD
Location Address201 VIRGINIA RDEdenton, NC 27932-9668
Mailing Address201 Virginia RdEdenton, NC 27932-9668 · (252) 482-2116 · Fax (252) 482-4874
Fax(252) 482-4874
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 1990
Enumeration DateAugust 30, 2005
Last NPPES UpdateAugust 3, 2012
NPI 1003809542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 9401171
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 VIRGINIA RD, Edenton, NC 27932

Other Identifiers 3

Medicare UPINE94162
Medicare ID-Type Unspecified2201926
Medicaid8928501NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas Calvin Dimartino Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466529417
PECOS Enrollment IDI20080917000624
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341304
Location1403 S King StWindsor, NC 27983 · Bertie County
Emergency services

Vidant Chowan Hospital

Critical Access Hospitals · Edenton, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number341318
Location211 Virginia RdEdenton, NC 27932 · Chowan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims27 services$6.70 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers34 claims34 services$21.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers53 claims53 services$119.25 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$38.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
201 VIRGINIA RD
EDENTON, NC 27932
Family Medicine
201 VIRGINIA RD
EDENTON, NC 27932
Family Medicine
201 VIRGINIA RD
EDENTON, NC 27932
Family Medicine
201 VIRGINIA RD
EDENTON, NC 27932
Family Medicine
201 VIRGINIA RD, GRADUATE MEDICAL EDUCATION
EDENTON, NC 27932
Family Medicine
201 VIRGINIA RD
EDENTON, NC 27932

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Dimartino's NPI number?

The NPI number for Thomas Dimartino is 1003809542. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Thomas Dimartino located?

Thomas Dimartino practices at 201 Virginia Rd, Edenton, NC 27932. The listed phone number is (252) 482-2116.

What is Thomas Dimartino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Dimartino enrolled in Medicare?

Yes. Thomas Dimartino is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Dimartino accept?

Health plans from Blue Cross and Blue Shield of NC list Thomas Dimartino as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Dimartino affiliated with any hospitals?

According to CMS data, Thomas Dimartino is affiliated with Ecu Health Bertie Hospital and Vidant Chowan Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Dimartino was last updated on August 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.