DR. THOMAS A PINKSTON O.D.
NPI 1427313568
Optometrist in Waynesville, NC

Active since July 04, 2012PECOS EnrolledAccepts Medicare Assignment
1604 SULPHUR SPRINGS RD, WAYNESVILLE, NC 28786(828) 456-8361(828) 452-4527 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2023, Aug 22, 2016 (2 updates tracked since 2016).

About Dr. Thomas A Pinkston O.d. NPPES

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

DR. THOMAS A PINKSTON O.D. (NPI 1427313568) is an individual optometrist in Waynesville, North Carolina, licensed in North Carolina (2464) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Haywood Regional Medical Center, and is a graduate of University Of Alabama School Of Medicine (2012).

NPPES Registry Identity

NPI1427313568
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. THOMAS A PINKSTONCredential: O.D.
Location Address1604 SULPHUR SPRINGS RDWaynesville, NC 28786-4117
Mailing Address1604 Sulphur Springs RdWaynesville, NC 28786-4117 · (828) 456-8361 · Fax (828) 452-4527
Fax(828) 452-4527
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2012
Enumeration DateJuly 4, 2012
Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1427313568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in NC · 2464 Licensed in GA · OPT002704 Licensed in FL · OPC4879
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1604 SULPHUR SPRINGS RD, Waynesville, NC 28786

Accepted 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 A Pinkston O.d. 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 ID749420586
PECOS Enrollment IDI20161031000215
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 7

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.
165 services148 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
52 services43 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.
52 services46 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
28 services27 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
24 services24 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28786 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 5

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

Optometrist
1604 SULPHUR SPRINGS RD
WAYNESVILLE, NC 28786
Optometrist
1604 SULPHUR SPRINGS RD
WAYNESVILLE, NC 28786
Optometrist
1604 SULPHUR SPRINGS RD
WAYNESVILLE, NC 28786
Optometrist
1604 SULPHUR SPRINGS RD
WAYNESVILLE, NC 28786
Optometrist
1604 SULPHUR SPRINGS RD
WAYNESVILLE, NC 28786

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 Pinkston's NPI number?

The NPI number for Thomas Pinkston is 1427313568. It was assigned to this individual provider in the NPPES registry on July 4, 2012.

Where is Thomas Pinkston located?

Thomas Pinkston practices at 1604 Sulphur Springs Rd, Waynesville, NC 28786. The listed phone number is (828) 456-8361.

What is Thomas Pinkston's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thomas Pinkston enrolled in Medicare?

Yes. Thomas Pinkston 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 Pinkston accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan and 1 other insurer list Thomas Pinkston 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 Pinkston affiliated with any hospitals?

According to CMS data, Thomas Pinkston is affiliated with Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Pinkston was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.