JOHN E THORDSEN JR. MD
NPI 1073659769
Ophthalmology - Retina Specialist in Raleigh, NC
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show John Thordsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 22 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27607
RALEIGH, NC 27607
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.
Which organization bills Medicare for John Thordsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Thordsen reassigns Medicare benefits to Retina Associates, PLLC (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Thordsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.