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RIAN KENNETH THORNTON
NPI 1255975389
Nurse Practitioner - Acute Care in Weaverville, NC

Active since November 01, 2019PECOS EnrolledAccepts Medicare Assignment
90.64/100
CMS Quality Rating
179 N BUNCOMBE SCHOOL RD STE 102, WEAVERVILLE, NC 28787(828) 645-3100(828) 658-3254 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Nov 1, 2019 (2 updates tracked since 2019).

About Rian Kenneth Thornton NPPES

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

RIAN KENNETH THORNTON (NPI 1255975389) is an individual acute care provider in Weaverville, North Carolina, licensed in North Carolina (5012630) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255975389
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameRIAN KENNETH THORNTON
Location Address179 N BUNCOMBE SCHOOL RD STE 102Weaverville, NC 28787-9699
Mailing AddressPo Box 1869Fletcher, NC 28732-1869 · Fax (828) 650-8076
Phone(828) 645-3100
Fax(828) 658-3254
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 1, 2019
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1255975389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NC · 5012630
179 N BUNCOMBE SCHOOL RD STE 102, Weaverville, NC 28787
Open in Google Maps ↗

Secondary Practice Locations 4

Location 121 Hospital Dr Fl 4Asheville, NC 28801-4550 · Phone (908) 249-8357
Location 250 Hospital Dr Ste 4BHendersonville, NC 28792-5246 · Phone (828) 681-2917 · Fax (828) 681-2852
Location 3600 Hospital Dr Ste 10BClyde, NC 28721-8024 · Phone (828) 456-5214 · Fax (828) 456-7834
Location 420 Medical Park Dr Ste BAsheville, NC 28803-2493 · Phone (828) 254-8232 · Fax (828) 253-4470

Other Identifiers 1

MedicaidEINNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC and more.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

Rian Kenneth Thornton 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 ID244669166
PECOS Enrollment IDI20200327002987, I20250806003256
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
229 services127 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services23 patients

Hospital Affiliations CMS Care Compare 3

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341329
Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28787 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.

90.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.52
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.

JACLYN SARAH SUTTON AGACNP, DNP
Nurse Practitioner
179 N BUNCOMBE SCHOOL RD STE 102
WEAVERVILLE, NC 28787
Buncombe County (828) 645-3100

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 Rian Thornton's NPI number?

The NPI number for Rian Thornton is 1255975389. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Rian Thornton located?

Rian Thornton practices at 179 N Buncombe School Rd Ste 102, Weaverville, NC 28787. The listed phone number is (828) 645-3100.

What is Rian Thornton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Rian Thornton enrolled in Medicare?

Yes. Rian Thornton 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 Rian Thornton accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, HMO Louisiana and UnitedHealthcare list Rian Thornton 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 Rian Thornton affiliated with any hospitals?

According to CMS data, Rian Thornton is affiliated with East Jefferson General Hospital, Adventhealth Hendersonville and Blue Ridge Regional Hospital.

When was this NPI record last updated?

The NPPES record for Rian Thornton was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.