DR. THOMAS EDWARD RACHNER MD
NPI 1093778243
Radiology - Diagnostic Radiology in Union Hall, VA
About Dr. Thomas Edward Rachner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS EDWARD RACHNER MD (NPI 1093778243) is an individual diagnostic radiology provider in Union Hall, Virginia, licensed in Virginia (0101059338) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Ohio State University College Of Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Thomas Edward Rachner 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 Reassignments
6Medicare enrollment records show Thomas Rachner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Danville, VA 24540
- Reassigned Medicare billing, Virginia enrollment
- 204 clinicians in this Medicare group
Lynchburg, VA 24502
- Reassigned Medicare billing, Virginia enrollment
- 58 clinicians in this Medicare group
Wake Forest, NC 27587
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Raleigh, NC 27612
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Raleigh, NC 27610
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Virginia enrollment
- 9 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 27
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Youngstown Hospital
Acute Care Hospitals · Youngstown, OHMercy St Vincent Medical Center
Acute Care Hospitals · Toledo, OHMh St Joseph Warren Hospital
Acute Care Hospitals · Warren, OHMercy Health - West Hospital
Acute Care Hospitals · Cincinnati, OHHmhp St Elizabeth Boardman Health Center
Acute Care Hospitals · Boardman, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24176 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.
Reported Quality Measures
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 Rachner's NPI number?
The NPI number for Thomas Rachner is 1093778243. It was assigned to this individual provider in the NPPES registry on April 10, 2006.
Where is Thomas Rachner located?
Thomas Rachner practices at 160 Egret Dr, Union Hall, VA 24176. The listed phone number is (276) 732-4515.
What is Thomas Rachner's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Thomas Rachner enrolled in Medicare?
Yes. Thomas Rachner 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 organizations bill Medicare for Thomas Rachner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Rachner reassigns Medicare benefits to 6 organizations: Danville Physician Practices LLC (Danville, VA), Radiology Consultants Of Lynchburg Inc (Lynchburg, VA), Raleigh Radiology Wakemed Imaging, LLC (Wake Forest, NC), Raleigh Radiology, LLC (Raleigh, NC), Raleigh Radiology Associates, Inc. (Raleigh, NC) and 1 more organization, listed in the Medicare section above. Each 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 Thomas Rachner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Rachner accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare list Thomas Rachner 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 Rachner affiliated with any hospitals?
According to CMS data, Thomas Rachner is affiliated with St Elizabeth Youngstown Hospital, Mercy St Vincent Medical Center, Mh St Joseph Warren Hospital, Mercy Health - West Hospital and Hmhp St Elizabeth Boardman Health Center.
When was this NPI record last updated?
The NPPES record for Thomas Rachner was last updated on July 21, 2021. 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.