DR. THOMAS LANE BRADBURY JR. MD
NPI 1720019698
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Atlanta, GA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
80.68/100
CMS Quality Rating
59 EXECUTIVE PARK S, ATLANTA, GA 30329(404) 778-7188(404) 778-7036 Get Directions Write a Review

NPPES record last updated: February 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Lane Bradbury Jr. Md NPPES

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

DR. THOMAS LANE BRADBURY JR. MD (NPI 1720019698) is an individual adult reconstructive orthopaedic surgery provider in Atlanta, Georgia, licensed in Georgia (059130) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Medical College Of Georgia School Of Medicine (2001).

NPPES Registry Identity

NPI1720019698
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. THOMAS LANE BRADBURY JR.Credential: MD
Location Address59 EXECUTIVE PARK SAtlanta, GA 30329-2208
Mailing Address59 Executive Park SAtlanta, GA 30329-2208 · (404) 778-7188 · Fax (404) 778-7036
Fax(404) 778-7036
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2001
Enumeration DateJuly 6, 2006
Last NPPES UpdateFebruary 1, 2015
NPI 1720019698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Licenses Licensed in GA · 059130 Licensed in NC · 200600296
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

59 EXECUTIVE PARK S, Atlanta, GA 30329

Other Identifiers 3

Medicare ID-Type Unspecified2053499
Medicaid5904146NC
Medicare UPINI55381

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 Lane Bradbury Jr. 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 ID6901809987
PECOS Enrollment IDI20070809000057
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 13

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.

X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
228 services192 patients
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.
209 services167 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
176 services176 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
171 services165 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.
120 services107 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
107 services105 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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.

80.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality64.87
Improvement Activities40
Cost100

Reported Quality Measures

Advance Care Plan
97%547 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
22%758 patients1/55-star benchmark: 100%
Controlling High Blood Pressure
52%148 patients3/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%42 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%183 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers32 claims32 services$42.01 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
3 suppliers31 claims31 services$48.99 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier27 claims27 services$511.45 avg. paid by Medicare
Lower extremity orthoses, not otherwise specified L2999
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$781.91 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.

Specialist
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Pediatrics (Sports Medicine)
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Physical Medicine & Rehabilitation
59 EXECUTIVE PARK S, #2000
ATLANTA, GA 30329
Physician Assistant
59 EXECUTIVE PARK S, STE 3000
ATLANTA, GA 30329
Student in an Organized Health Care Education/Training Program
59 EXECUTIVE PARK S
ATLANTA, GA 30329
59 EXECUTIVE PARK S, SUITE 1000
ATLANTA, GA 30329
Specialist/Technologist (Athletic Trainer)
59 EXECUTIVE PARK S
ATLANTA, GA 30329
Radiology (Diagnostic Radiology)
59 EXECUTIVE PARK S, 4TH FLOOR SUITE 4009
ATLANTA, GA 30329

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 Bradbury's NPI number?

The NPI number for Thomas Bradbury is 1720019698. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Thomas Bradbury located?

Thomas Bradbury practices at 59 Executive Park S, Atlanta, GA 30329. The listed phone number is (404) 778-7188.

What is Thomas Bradbury's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Thomas Bradbury enrolled in Medicare?

Yes. Thomas Bradbury 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 Bradbury accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thomas Bradbury 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 Bradbury affiliated with any hospitals?

According to CMS data, Thomas Bradbury is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee, St Francis Hospital- Emory Healthcare and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Bradbury was last updated on February 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.