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THOMAS MICHAEL DUGGAN MD
NPI 1104857937
Internal Medicine in Whiteville, NC

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
500 JEFFERSON ST, WHITEVILLE, NC 28472(910) 642-1776 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 25 more (28 updates tracked since 2018).

About Thomas Michael Duggan Md NPPES

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

THOMAS MICHAEL DUGGAN MD (NPI 1104857937) is an individual internal medicine provider in Whiteville, North Carolina, licensed in North Carolina (2008-01073) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sampson Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104857937
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHOMAS MICHAEL DUGGANCredential: MD
Location Address500 JEFFERSON STWhiteville, NC 28472-3634
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(910) 642-1776
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 15, 202428 updates tracked since enumeration
✔ NPI 1104857937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 2008-01073
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 2008-01073 (NC)
500 JEFFERSON ST, Whiteville, NC 28472
Open in Google Maps ↗

Secondary Practice Locations 4

Location 110628 Park RdCharlotte, NC 28210-8407 · Phone (704) 667-7070
Location 28800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 863-6241
Location 32001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 304-6070
Location 41000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 355-0720

Accepted Insurance

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

Thomas Michael Duggan 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 ID1254371982
PECOS Enrollment IDI20080904000214
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 Reassignments

5

Medicare enrollment records show Thomas Duggan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbus Regional Health Network
Same address
Hospitalist
500 JEFFERSON ST
Whiteville, NC 28472
  • Reassigned Medicare billing, North Carolina enrollment
  • 216 clinicians in this Medicare group
NPI 1508001009 (910) 642-1776
Novant Medical Group, Inc.
27 mi
Urgent Care
25805 ANDREW JACKSON HIGHWAY E
Delco, NC 28436
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1699960468 (910) 655-9900
Novant Health Medical Group Coastal Region, LLC
30 mi
Hematology & Oncology
75 EMERSON BAY RD STE 104
Carolina Shores, NC 28467
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
NPI 1801565684 (910) 667-4283
Scotland Regional Health Network
37 mi
Surgery
410 S JONES ST, STE D
Pembroke, NC 28372
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1891135067 (910) 277-9164
Carolinas Physicians Network Inc
109 mi
Cardiovascular Disease
1908 HILCO ST STE A
Albemarle, NC 28001
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,646 clinicians in this Medicare group
NPI 1265756894 (704) 982-8686

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
121 services112 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Sampson Regional Medical Center

Acute Care Hospitals · Clinton, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340024
Location607 Beaman StClinton, NC 28328 · Sampson County
Emergency services Birthing friendly

Columbus Regional Healthcare System

Acute Care Hospitals · Whiteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340068
Location500 Jefferson StWhiteville, NC 28472 · Columbus County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28472 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
$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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

RO-LYAN AROKAS REID MD
Hospitalist
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-1776
JERRY WAYNE HAYNES PHARM.D.
Pharmacist
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-1739
MS. SHANNON KATHLEEN MORGAN-BAEHR CRNA
Nurse Anesthetist, Certified Registered
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-8011
CYPRESS PATHOLOGY PA
Pathology (Anatomic Pathology & Clinical Pathology)
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-1715
DR. ARI D LEIB M.D.
Emergency Medicine
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-8011
DR. SARA-MAIZ AFSANI THOMAS MD
Hospitalist
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-1776
BHASKAR PUSULURI M.D.
Hospitalist
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 642-1776
MS. TIFFANY HORTON PA-C
Physician Assistant
500 JEFFERSON ST
WHITEVILLE, NC 28472
Columbus County (910) 641-8600

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 Duggan's NPI number?

The NPI number for Thomas Duggan is 1104857937. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Thomas Duggan located?

Thomas Duggan practices at 500 Jefferson St, Whiteville, NC 28472. The listed phone number is (910) 642-1776.

What is Thomas Duggan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thomas Duggan enrolled in Medicare?

Yes. Thomas Duggan 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 Duggan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Duggan reassigns Medicare benefits to 5 organizations: Columbus Regional Health Network (Whiteville, NC), Novant Medical Group, Inc. (Delco, NC), Novant Health Medical Group Coastal Region, LLC (Carolina Shores, NC), Scotland Regional Health Network (Pembroke, NC) and Carolinas Physicians Network Inc (Albemarle, NC). 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 Duggan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Duggan accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Thomas Duggan 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 Duggan affiliated with any hospitals?

According to CMS data, Thomas Duggan is affiliated with Sampson Regional Medical Center, Columbus Regional Healthcare System and Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Duggan was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.