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DR. THOMAS HENRY LUNSFORD MD
NPI 1235628306
Hospitalist in Raleigh, NC

Active since May 04, 2018PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-7093(919) 784-7395 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2021, Jan 13, 2021, May 4, 2018 (3 updates tracked since 2018).

About Dr. Thomas Henry Lunsford Md NPPES

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

DR. THOMAS HENRY LUNSFORD MD (NPI 1235628306) is an individual hospitalist provider in Raleigh, North Carolina, licensed in North Carolina (2021-01315) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1235628306
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. THOMAS HENRY LUNSFORDCredential: MD
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address4420 Lake Boone TrlRaleigh, NC 27607-7505 · (919) 784-7093 · Fax (919) 784-7395
Phone(919) 784-7093
Fax(919) 784-7395
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateMay 4, 2018
Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1235628306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2021-01315
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2021-01315 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 238465 (NC)
4420 LAKE BOONE TRL, Raleigh, NC 27607
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Secondary Practice Location 1

Location 1102 Mason Farm RdChapel Hill, NC 27599-6134 · Phone (919) 966-1459

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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 Henry Lunsford 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 ID8921353848
PECOS Enrollment IDI20210820001758
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.

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.
369 services148 patients
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.
244 services113 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
155 services150 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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.

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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

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 Lunsford's NPI number?

The NPI number for Thomas Lunsford is 1235628306. It was assigned to this individual provider in the NPPES registry on May 4, 2018.

Where is Thomas Lunsford located?

Thomas Lunsford practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-7093.

What is Thomas Lunsford's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Thomas Lunsford enrolled in Medicare?

Yes. Thomas Lunsford 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 Lunsford accept?

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

According to CMS data, Thomas Lunsford is affiliated with Unc Hospitals and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Lunsford was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.