THOMAS ANDREW GIRTON NP-C
NPI 1174287072
Nurse Practitioner - Adult Health in Roanoke, VA

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2001 CRYSTAL SPRING AVE SW STE 203, ROANOKE, VA 24014(540) 982-8204 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Andrew Girton Np-c NPPES

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

THOMAS ANDREW GIRTON NP-C (NPI 1174287072) is an individual adult health provider in Roanoke, Virginia, licensed in Virginia (0024182252) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and maintains a secondary practice location in Blacksburg.

NPPES Registry Identity

NPI1174287072
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTHOMAS ANDREW GIRTONCredential: NP-C
Location Address2001 CRYSTAL SPRING AVE SW STE 203Roanoke, VA 24014-2465
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5352
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 26, 2021
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
NPI 1174287072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in VA · 0024182252
Also ListedNurse PractitionerTaxonomy 363L00000X · License 0024182252 (VA)
2001 CRYSTAL SPRING AVE SW STE 203, Roanoke, VA 24014

Secondary Practice Location 1

Location 1801 Davis StBlacksburg, VA 24060-7008 · Phone (540) 961-0218

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

Thomas Andrew Girton Np-c 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 ID2264824218
PECOS Enrollment IDI20220125000323
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.

Hospital Affiliations CMS Care Compare

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Internal Medicine (Cardiovascular Disease)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Physician Assistant
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Internal Medicine (Cardiovascular Disease)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Internal Medicine (Cardiovascular Disease)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Internal Medicine (Cardiovascular Disease)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014
Nurse Practitioner (Acute Care)
2001 CRYSTAL SPRING AVE SW STE 203
ROANOKE, VA 24014

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 Girton's NPI number?

The NPI number for Thomas Girton is 1174287072. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Thomas Girton located?

Thomas Girton practices at 2001 Crystal Spring Ave SW Ste 203, Roanoke, VA 24014. The listed phone number is (540) 982-8204.

What is Thomas Girton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Thomas Girton enrolled in Medicare?

Yes. Thomas Girton 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.

Is Thomas Girton affiliated with any hospitals?

According to CMS data, Thomas Girton is affiliated with Carilion Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Girton was last updated on December 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.