DR. THOMAS P VAIL M.D.
NPI 1598852014
Orthopaedic Surgery in Durham, NC

Active since October 06, 2006PECOS Enrolled
74.46/100
CMS Quality Rating
4101 N ROXBORO ST, DURHAM, NC 27704(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thomas P Vail M.d. NPPES

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

DR. THOMAS P VAIL M.D. (NPI 1598852014) is an individual orthopaedic surgery provider in Durham, North Carolina, licensed in California (G71592) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598852014
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS P VAILCredential: M.D.
Location Address4101 N ROXBORO STDurham, NC 27704-2121
Mailing Address1500 Owens St, Ste 170San Francisco, CA 94158-2335 · (919) 684-8111
Sole ProprietorNo
Enumeration DateOctober 6, 2006
Last NPPES UpdateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1598852014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CA · G71592✔ Licensed in NC · 34485
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4101 N ROXBORO ST, Durham, NC 27704

Other Identifiers 1

Medicaid7984601NC

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 P Vail M.d. 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 Vail reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group

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 27704 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
$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.

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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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.

Internal Medicine (Hematology & Oncology)
4101 N ROXBORO ST
DURHAM, NC 27704
Surgery (Surgical Oncology)
4101 N ROXBORO ST
DURHAM, NC 27704
Radiology (Diagnostic Radiology)
4101 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine (Gastroenterology)
4101 N ROXBORO ST
DURHAM, NC 27704
Pediatrics
4101 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant
4101 N ROXBORO ST
DURHAM, NC 27704
Pediatrics (Neonatal-Perinatal Medicine)
4101 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine (Pulmonary Disease)
4101 N ROXBORO ST
DURHAM, NC 27704

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 Vail's NPI number?

The NPI number for Thomas Vail is 1598852014. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Thomas Vail located?

Thomas Vail practices at 4101 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 684-8111.

What is Thomas Vail's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Vail enrolled in Medicare?

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

Which organizations bill Medicare for Thomas Vail's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Vail reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Vail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Thomas Vail was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.