JOHN E THORDSEN JR. MD
NPI 1073659769
Ophthalmology - Retina Specialist in Raleigh, NC

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4414 LAKE BOONE TRL STE 302, RALEIGH, NC 27607(197) 828-0389(919) 782-8189 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, May 20, 2020 (2 updates tracked since 2020).

About John E Thordsen Jr. Md NPPES

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

JOHN E THORDSEN JR. MD (NPI 1073659769) is an individual retina specialist in Raleigh, North Carolina, licensed in North Carolina (2011-00308) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (1997).

NPPES Registry Identity

NPI1073659769
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameJOHN E THORDSEN JR.Credential: MD
Location Address4414 LAKE BOONE TRL STE 302Raleigh, NC 27607-7514
Mailing Address4414 Lake Boone Trl, 302Raleigh, NC 27607-7513 · (919) 782-8038 · Fax (919) 782-8189
Fax(919) 782-8189
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1997
Enumeration DateJanuary 29, 2007
Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
NPI 1073659769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in NC · 2011-00308
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 2011-00308 (NC)
4414 LAKE BOONE TRL STE 302, Raleigh, NC 27607

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

John E Thordsen Jr. 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 ID7719952530
PECOS Enrollment IDI20110829000394
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
8,640 services13 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,258 services172 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,718 services290 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,268 services784 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,203 services308 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,097 services677 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Ophthalmology
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL STE 302
RALEIGH, NC 27607

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 John Thordsen's NPI number?

The NPI number for John Thordsen is 1073659769. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is John Thordsen located?

John Thordsen practices at 4414 Lake Boone Trl Ste 302, Raleigh, NC 27607. The listed phone number is (197) 828-0389.

What is John Thordsen's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is John Thordsen enrolled in Medicare?

Yes. John Thordsen 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 John Thordsen accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list John Thordsen 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.

When was this NPI record last updated?

The NPPES record for John Thordsen was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.