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DR. THOMAS ROBERT VAJEN MD
NPI 1194755207
Emergency Medicine in Bryson City, NC

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
99/100
CMS Quality Rating
45 PLATEAU ST, BRYSON CITY, NC 28713(828) 488-2155(828) 488-4039 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Robert Vajen Md NPPES

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

DR. THOMAS ROBERT VAJEN MD (NPI 1194755207) is an individual emergency medicine provider in Bryson City, North Carolina, licensed in North Carolina (224438) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cherokee Indian Hospital Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194755207
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THOMAS ROBERT VAJENCredential: MD
Location Address45 PLATEAU STBryson City, NC 28713-4200
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(828) 488-2155
Fax(828) 488-4039
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1973
Enumeration DateJuly 4, 2006
Last NPPES UpdateOctober 31, 2018
✔ NPI 1194755207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NC · 224438
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 35 045937 (OH)
Also ListedHospitalistTaxonomy 208M00000X · License 224438 (NC)
45 PLATEAU ST, Bryson City, NC 28713
Open in Google Maps ↗

Secondary Practice Locations 2

Location 168 Hospital RdSylva, NC 28779-2722 · Phone (828) 586-7000 · Fax (828) 586-7467
Location 2221 E Main StLancaster, OH 43130-3843 · Phone (740) 654-7077

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company.Insurance ›

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 Robert Vajen 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 ID9436123239
PECOS Enrollment IDI20191101000259
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
75 services67 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services52 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services44 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cherokee Indian Hospital Authority

Acute Care Hospitals · Cherokee, NC
OwnershipGovernment - Federal
CMS Certification Number340156
LocationCaller Box C268Cherokee, NC 28719 · Swain County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28713 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.74 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$119.52 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7000
SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7000
SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7000
SWAIN INTEGRATED SERVICES, PC
Emergency Medicine
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 488-2155
ANNA H. WALLS OCCUPATIONAL THERAPY
Occupational Therapist
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 488-4009
SWAIN COUNTY HOSPITAL, INC.
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 631-1725
VALERIE LEIGH RIGG M.D.
Family Medicine
45 PLATEAU ST, STE 250
BRYSON CITY, NC 28713
Swain County (828) 488-4205
DLP SWAIN COUNTY HOSPITAL, LLC
General Acute Care Hospital (Critical Access)
45 PLATEAU ST
BRYSON CITY, NC 28713
Swain County (828) 586-7778

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 Vajen's NPI number?

The NPI number for Thomas Vajen is 1194755207. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Thomas Vajen located?

Thomas Vajen practices at 45 Plateau St, Bryson City, NC 28713. The listed phone number is (828) 488-2155.

What is Thomas Vajen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Thomas Vajen enrolled in Medicare?

Yes. Thomas Vajen 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.

What insurance does Thomas Vajen accept?

Health plans from Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Thomas Vajen 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 Vajen affiliated with any hospitals?

According to CMS data, Thomas Vajen is affiliated with Cherokee Indian Hospital Authority.

When was this NPI record last updated?

The NPPES record for Thomas Vajen was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.