THOMAS G WAMBACH M.D.
NPI 1558462945
Surgery in Grand Forks, ND

Q: What is Thomas Wambach's NPI number?

The NPI number for Thomas Wambach is 1558462945. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Q: What is Thomas Wambach's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Wambach was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment

1300 S. COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-6000 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Mar 14, 2025 (2 updates tracked since 2025).

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About Thomas G Wambach M.d. NPPES

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

THOMAS G WAMBACH M.D. (NPI 1558462945) is an individual surgery provider in Grand Forks, North Dakota, licensed in North Dakota (22927) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and is a graduate of University Of North Dakota School Of Medicine (1993).

NPPES Registry Identity

NPI1558462945

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTHOMAS G WAMBACHCredential: M.D.

Location Address1300 S. COLUMBIA RDGrand Forks, ND 58201

Mailing AddressPo Box 13780Grand Forks, ND 58208 · (701) 780-1891

Phone(701) 780-6000

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1993

Enumeration DateSeptember 26, 2006

Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1558462945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in ND · 22927✔ Licensed in MN · 45494

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1300 S. COLUMBIA RD, Grand Forks, ND 58201

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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

Thomas G Wambach M.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 ID9830192046

PECOS Enrollment IDI20251205001398

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.

Hospital Affiliations CMS Care Compare 5

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

Riverview Hospital

Critical Access Hospitals · Crookston, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241320

Location323 South MinnesotaCrookston, MN 56716 · Polk County

Emergency services

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241381

Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County

Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Unity Medical Center

Critical Access Hospitals · Grafton, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351320

Location164 W 13th StreetGrafton, ND 58237 · Walsh County

Emergency services

Cavalier County Memorial Hospital Association

Critical Access Hospitals · Langdon, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351323

Location909 2nd StLangdon, ND 58249 · Cavalier County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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 10

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

DR. KARIN M MCCONVILLE MD

Surgery (Surgical Critical Care)