DR. THOMAS SPENCER SKELTON M.D.
NPI 1083866677
Colon & Rectal Surgery in New Bern, NC

Q: What is Thomas Skelton's NPI number?

The NPI number for Thomas Skelton is 1083866677. It was assigned to this individual provider in the NPPES registry on October 15, 2008.

Q: What is Thomas Skelton's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Skelton was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since October 15, 2008PECOS EnrolledAccepts Medicare Assignment

47.59/100

CMS Quality Rating

701 NEWMAN RD, NEW BERN, NC 28562(252) 633-2081(252) 633-3446 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2026, Sep 17, 2020 (2 updates tracked since 2020).

On this page

About Dr. Thomas Spencer Skelton M.d. NPPES

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

DR. THOMAS SPENCER SKELTON M.D. (NPI 1083866677) is an individual colon & rectal surgery provider in New Bern, North Carolina, licensed in North Carolina (2020-03863) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and is a graduate of University Of Texas Medical School At Houston (2007).

NPPES Registry Identity

NPI1083866677

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameDR. THOMAS SPENCER SKELTONCredential: M.D.

Location Address701 NEWMAN RDNew Bern, NC 28562-5239

Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 633-2081 · Fax (252) 633-3446

Phone(252) 633-2081

Fax(252) 633-3446

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2007

Enumeration DateOctober 15, 2008

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1083866677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in NC · 2020-03863

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License N7878 (TX), 2020-03863 (NC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TMBPIT#BP10028995 (TX)

701 NEWMAN RD, New Bern, NC 28562

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.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

Dr. Thomas Spencer Skelton M.d. 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 ID3274837869

PECOS Enrollment IDI20201020003555

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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Skelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinaeast Physicians

Same address

Surgery

701 NEWMAN RD
New Bern, NC 28562

Reassigned Medicare billing, North Carolina enrollment
320 clinicians in this Medicare group

NPI 1518447705 (252) 633-2081

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 9

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.

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.

122 services72 patients

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

62 services55 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

61 services61 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

59 services49 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

42 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

37 services37 patients

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340131

Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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

$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.

47.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

43.48

Promoting Interoperability

Improvement Activities

Cost

65.16

Other Providers at the Same Location NPPES 11

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

DR. RICHARD EARL MORGAN M.D.

Surgery