DR. THOMAS H WROTH MD
NPI 1609941343
Family Medicine in Burlington, NC

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
221 N GRAHAM HOPEDALE RD, BURLINGTON, NC 27217(336) 570-3739(919) 933-9201 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas H Wroth Md NPPES

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

DR. THOMAS H WROTH MD (NPI 1609941343) is an individual family medicine provider in Burlington, North Carolina, licensed in North Carolina (0098-00739) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1995).

NPPES Registry Identity

NPI1609941343
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THOMAS H WROTHCredential: MD
Location Address221 N GRAHAM HOPEDALE RDBurlington, NC 27217-2971
Mailing Address143 W Franklin StChapel Hill, NC 27516-2539 · (919) 966-8596 · Fax (919) 843-5515
Fax(919) 933-9201
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1995
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 6, 2017
NPI 1609941343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 0098-00739
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
221 N GRAHAM HOPEDALE RD, Burlington, NC 27217

Other Identifiers 3

Medicaid8911355NC
Medicare UPING74094NC
Medicare ID-Type Unspecified2254184NC

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 H Wroth Md 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 ID9537054705
PECOS Enrollment IDI20040217000502
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27217 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims26 services$5.61 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$82.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pediatrics
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217
Social Worker (Clinical)
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217
Pharmacist
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217
Pharmacy (Clinic Pharmacy)
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217
Physician Assistant
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217
Nurse Practitioner (Primary Care)
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217
Pharmacist
221 N GRAHAM HOPEDALE RD, PHARMACY
BURLINGTON, NC 27217
Pediatrics
221 N GRAHAM HOPEDALE RD
BURLINGTON, NC 27217

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 Wroth's NPI number?

The NPI number for Thomas Wroth is 1609941343. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Thomas Wroth located?

Thomas Wroth practices at 221 N Graham Hopedale Rd, Burlington, NC 27217. The listed phone number is (336) 570-3739.

What is Thomas Wroth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Wroth enrolled in Medicare?

Yes. Thomas Wroth 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 Wroth accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Thomas Wroth 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 Wroth was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.