DR. THOMAS H FITZPATRICK IV MD
NPI 1750904561
Otolaryngology in Winston Salem, NC

Q: What is Thomas Fitzpatrick's NPI number?

The NPI number for Thomas Fitzpatrick is 1750904561. It was assigned to this individual provider in the NPPES registry on May 27, 2020.

Q: What is Thomas Fitzpatrick's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since May 27, 2020PECOS EnrolledAccepts Medicare Assignment

110 CHARLOIS BLVD, WINSTON SALEM, NC 27103(336) 768-3361(336) 768-4131 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Jun 10, 2024, Jun 4, 2020 and 1 more (4 updates tracked since 2020).

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About Dr. Thomas H Fitzpatrick Iv Md NPPES

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

DR. THOMAS H FITZPATRICK IV MD (NPI 1750904561) is an individual otolaryngology provider in Winston Salem, North Carolina, licensed in North Carolina (2025-01757) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and is a graduate of Wake Forest University School Of Medicine (2020).

NPPES Registry Identity

NPI1750904561

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. THOMAS H FITZPATRICK IVCredential: MD

Location Address110 CHARLOIS BLVDWinston Salem, NC 27103-1522

Mailing Address1200 E Broad St Ste 313Richmond, VA 23298-5058 · (803) 828-2875 · Fax (804) 807-7951

Phone(336) 768-3361

Fax(336) 768-4131

Sole ProprietorNo

Medical School CMSWake Forest University School Of MedicineGraduated 2020

Enumeration DateMay 27, 2020

Last NPPES UpdateJune 27, 20254 updates tracked since enumeration

NPPES CertifiedJune 27, 2025

✔ NPI 1750904561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in NC · 2025-01757

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

110 CHARLOIS BLVD, Winston Salem, NC 27103

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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

Dr. Thomas H Fitzpatrick Iv 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 ID7113343484

PECOS Enrollment IDI20250908002177

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 2

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

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340003

Location830 Rockford StMount Airy, NC 27030 · Surry County

Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

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.

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.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims372 services$3.51 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims5,930 services$0.27 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier18 claims18 services$4.14 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MR. RONALD BERNARD SHEALY MD

Otolaryngology