THOMAS VINTON MD
NPI 1184688939
Family Medicine in Omaha, NE

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.57/100
CMS Quality Rating
12728 AUGUSTA AVE FL 2, OMAHA, NE 68144(402) 330-1410(402) 330-4294 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Vinton Md NPPES

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

THOMAS VINTON MD (NPI 1184688939) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (15977) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1976).

NPPES Registry Identity

NPI1184688939
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS VINTONCredential: MD
Location Address12728 AUGUSTA AVE FL 2Omaha, NE 68144-3702
Mailing Address12728 Augusta Ave Fl 2Omaha, NE 68144-3702 · (402) 330-1410 · Fax (402) 330-4294
Fax(402) 330-4294
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1976
Enumeration DateApril 17, 2006
Last NPPES UpdateJanuary 23, 2025
NPPES CertifiedJanuary 23, 2025
✔ NPI 1184688939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 15977
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12728 AUGUSTA AVE FL 2, Omaha, NE 68144

Other Identifiers 1

Other15977NE · State Lic

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

Thomas Vinton 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 ID4789685181
PECOS Enrollment IDI20070129000134
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 Vinton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
12728 AUGUSTA AVE
Omaha, NE 68144
  • Reassigned Medicare billing, Nebraska enrollment
  • 6 clinicians in this Medicare group
Family Medicine
300 N COLUMBIA AVE
Seward, NE 68434
  • Reassigned Medicare billing, Nebraska enrollment
  • 45 clinicians in this Medicare group
Orthopaedic Surgery
1900 F ST
Geneva, NE 68361
  • Reassigned Medicare billing, Nebraska enrollment
  • 54 clinicians in this Medicare group
Critical Access
300 N 2ND ST
O'neill, NE 68763
  • Reassigned Medicare billing, Nebraska enrollment
  • 86 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
145 MEMORIAL DR
Broken Bow, NE 68822
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1538232244 (Nebraska)
  • 31 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68144 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

94.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability94.37
Improvement Activities40

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Primary Care)
12728 AUGUSTA AVE FL 2
OMAHA, NE 68144

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 Vinton's NPI number?

The NPI number for Thomas Vinton is 1184688939. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Thomas Vinton located?

Thomas Vinton practices at 12728 Augusta Ave Fl 2, Omaha, NE 68144. The listed phone number is (402) 330-1410.

What is Thomas Vinton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Vinton enrolled in Medicare?

Yes. Thomas Vinton 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 Vinton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Vinton reassigns Medicare benefits to 5 organizations: Primary Care Physicians, LLP (Omaha, NE), Memorial Health Care Systems (Seward, NE), Fillmore County Hospital (Geneva, NE), Avera St Anthonys Hospital (O'neill, NE) and Jennie M Melham Memorial Medical Center Inc (Broken Bow, NE). 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 Vinton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Vinton accept?

Health plans from Blue Cross and Blue Shield of Nebraska list Thomas Vinton 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.

When was this NPI record last updated?

The NPPES record for Thomas Vinton was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.