DR. THOMAS R MCCUNE MD
NPI 1154310050
Internal Medicine - Nephrology in Norfolk, VA

Q: What is Thomas Mccune's NPI number?

The NPI number for Thomas Mccune is 1154310050. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Thomas Mccune's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Mccune was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment

67.42/100

CMS Quality Rating

907 MEDICAL TOWER, 400 GRESHAM DR, NORFOLK, VA 23507(757) 627-7301(757) 627-6238 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thomas R Mccune Md NPPES

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

DR. THOMAS R MCCUNE MD (NPI 1154310050) is an individual nephrology provider in Norfolk, Virginia, licensed in Virginia (0101039963) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Macomb Oakland Hosp-warren Campus, and is a graduate of Eastern Virginia Medical School (1985).

NPPES Registry Identity

NPI1154310050

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. THOMAS R MCCUNECredential: MD

Location Address907 MEDICAL TOWER, 400 GRESHAM DRNorfolk, VA 23507-1970

Mailing Address6160 Kempsville Cir, Ste 302aNorfolk, VA 23502-3933 · (757) 466-9288 · Fax (757) 457-3691

Phone(757) 627-7301

Fax(757) 627-6238

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1985

Enumeration DateOctober 14, 2005

Last NPPES UpdateOctober 24, 2007

✔ NPI 1154310050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in VA · 0101039963

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

907 MEDICAL TOWER, Norfolk, VA 23507

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Other Identifiers 4

Medicare UPINE09972

Medicaid006053670VA

Other390001569VA · Railroad Medicare

Medicare PIN390000086

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

Dr. Thomas R Mccune 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 ID1951204254

PECOS Enrollment IDI20101022000215

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

341 services161 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

338 services190 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

146 services74 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

128 services51 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

123 services77 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

77 services42 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

77 services13 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.

73 services68 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.

44 services41 patients

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.

17 services17 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230195

Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County

Emergency services

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Riverside Shore Memorial Hospital

Acute Care Hospitals · Onancock, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490037

Location20480 Market StreetOnancock, VA 23417 · Accomack County

Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490093

Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

67.42/100

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

Scored as part of a group practice

Quality

74.29

Promoting Interoperability

Improvement Activities

Cost

83.8

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

1 supplier11 claims8,280 services$1.17 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507