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DR. THOMAS MARK BRAXTON JR. MD
NPI 1578539672
Family Medicine - Sports Medicine in Mayfield, KY

Active since February 27, 2006PECOS Enrolled
1111 MEDICAL CENTER CIR, MAYFIELD, KY 42066(270) 251-4085 Get Directions Write a Review

NPPES record last updated: March 7, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas Mark Braxton Jr. Md NPPES

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

DR. THOMAS MARK BRAXTON JR. MD (NPI 1578539672) is an individual sports medicine provider in Mayfield, Kentucky, licensed in Kentucky (43829) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578539672
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. THOMAS MARK BRAXTON JR.Credential: MD
Location Address1111 MEDICAL CENTER CIRMayfield, KY 42066-1194
Mailing Address595 State Route 408 EHickory, KY 42051-9537 · (270) 804-9727
Phone(270) 251-4085
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMarch 7, 2015
✔ NPI 1578539672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in KY · 43829
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 43829 (KY), 43065 (TN)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 43065 (TN)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 00024642 (AL)
1111 MEDICAL CENTER CIR, Mayfield, KY 42066
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Other Identifiers 2

Medicaid7100157640KY
Medicare PINK000891

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Maintenance Organization of Florida 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)

Dr. Thomas Mark Braxton Jr. 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

7

Medicare enrollment records show Thomas Braxton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eagle Creek Emergency Group, PC
37 mi
Emergency Medicine
301 TYSON AVE
Paris, TN 38242
  • Reassigned Medicare billing, Tennessee enrollment
  • 65 clinicians in this Medicare group
NPI 1134627557 (731) 642-1220
Rh Emergency Medicine Of Caldwell Medical, LLC
48 mi
Emergency Medicine
100 MEDICAL CENTER DR
Princeton, KY 42445
  • Reassigned Medicare billing, Kentucky enrollment
  • 23 clinicians in this Medicare group
NPI 1881376747 (270) 365-0300
Baptist Health Deaconess Medical Group Inc
61 mi
Rural Health
225 INDUSTRIAL PARK RD
Dawson Springs, KY 42408
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
NPI 1356922827 (270) 797-3521
Concord Medical Group Of Kentucky PLLC
140 mi
Emergency Medicine
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Kentucky enrollment
  • 182 clinicians in this Medicare group
NPI 1346746385 (270) 756-7000
T J Samson Community Hospital
152 mi
Family Medicine
310 N L ROGERS WELLS BLVD
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 323 clinicians in this Medicare group
NPI 1477609865 (270) 651-1111
Southeastern Emergency Physicians LLC
295 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311
South Central Physicians PLLC
778 mi
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Kentucky enrollment
  • 79 clinicians in this Medicare group
NPI 1427611854 (888) 264-0330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
579 services549 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
200 services196 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
63 services60 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42066 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

MRS. CHRISTY MARIE BAKER PHARM.D., MBA
Pharmacist
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 247-7000
WYNSTRA WOMENS HEALTHCARE, PSC
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4545
ALAN L CHRISTENSEN MD PSC
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543
MRS. JENNIFER L CARRICO APRN
Nurse Practitioner (Family)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4040
CAITLIN ODOM PA-C
Physician Assistant
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4527
DR. JONATHAN WYNSTRA M.D.
Obstetrics & Gynecology
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543
PINELAKE PHYSICIAN PRACTICE LLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4080
PINELAKE PHYSICIAN PRACTICE, LLC
Clinic/Center (Rural Health)
1111 MEDICAL CENTER CIR
MAYFIELD, KY 42066
Graves County (270) 251-4543

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 Braxton's NPI number?

The NPI number for Thomas Braxton is 1578539672. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Thomas Braxton located?

Thomas Braxton practices at 1111 Medical Center Cir, Mayfield, KY 42066. The listed phone number is (270) 251-4085.

What is Thomas Braxton's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Thomas Braxton enrolled in Medicare?

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

Which organizations bill Medicare for Thomas Braxton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Braxton reassigns Medicare benefits to 7 organizations: Eagle Creek Emergency Group, PC (Paris, TN), Rh Emergency Medicine Of Caldwell Medical, LLC (Princeton, KY), Baptist Health Deaconess Medical Group Inc (Dawson Springs, KY), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY), T J Samson Community Hospital (Glasgow, KY) and 2 more organizations, listed in the Medicare section above. 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 Braxton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Braxton accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Thomas Braxton 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 Braxton was last updated on March 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.