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THOMAS E MITORAJ MD
NPI 1255381752
Pediatrics in Bristol, TN

Active since May 12, 2006PECOS Enrolled
109 MEADOW VIEW RD, STE 3, BRISTOL, TN 37620(423) 968-4007(423) 652-2590 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 17, 2025, Oct 9, 2024 (2 updates tracked since 2024).

About Thomas E Mitoraj Md NPPES

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

THOMAS E MITORAJ MD (NPI 1255381752) is an individual pediatrics provider in Bristol, Tennessee, licensed in Tennessee (021345) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255381752
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHOMAS E MITORAJCredential: MD
Location Address109 MEADOW VIEW RD, STE 3Bristol, TN 37620-1661
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476 · (423) 968-4007 · Fax (423) 652-2590
Phone(423) 968-4007
Fax(423) 652-2590
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 17, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1255381752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 021345
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
109 MEADOW VIEW RD, Bristol, TN 37620
Open in Google Maps ↗

Other Identifiers 4

Other123498TN · Blue Cross Tn
Medicaid006746080VA
Other042029VA · Anthem
Medicaid3060577TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas E Mitoraj Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Thomas Mitoraj reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Franklin Healthcare Associates PLLC
18 mi
Internal Medicine
121 BOONE RIDGE DR STE 1002
Johnson City, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 357 clinicians in this Medicare group
NPI 1063459410 (423) 794-5500
Medical Education Assistance Corporation
19 mi
Internal Medicine
101 MED TECH PKWY STE 306
Johnson City, TN 37604
  • Reassigned Medicare billing, Virginia enrollment
  • 13 clinicians in this Medicare group
NPI 1235180480 (423) 433-6039

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 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 11

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

ALBANY GUYER
Occupational Therapist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
ABIGAIL THOMAS OTR/L
Occupational Therapist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
KIMBERLY DAWN RISNER MS CF SLP
Speech-Language Pathologist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
MARY FAULKNER LUTTRELL
Occupational Therapist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
ASHLEY ANN CLYMENS
Physical Therapist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
MRS. BRADEN ELIZABETH BECKHAM PT
Physical Therapist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
TAMERIA MCRATH
Speech-Language Pathologist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555
CAITLYN GARRETT
Speech-Language Pathologist
109 MEADOW VIEW RD
BRISTOL, TN 37620
Sullivan County (423) 797-4555

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 Mitoraj's NPI number?

The NPI number for Thomas Mitoraj is 1255381752. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Thomas Mitoraj located?

Thomas Mitoraj practices at 109 Meadow View Rd Ste 3, Bristol, TN 37620. The listed phone number is (423) 968-4007.

What is Thomas Mitoraj's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Mitoraj enrolled in Medicare?

Yes. Thomas Mitoraj is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Mitoraj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mitoraj reassigns Medicare benefits to 2 organizations: State Of Franklin Healthcare Associates PLLC (Johnson City, TN) and Medical Education Assistance Corporation (Johnson City, TN). 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 Mitoraj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Mitoraj accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thomas Mitoraj 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 Mitoraj was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.