THOMAS D BATCHELOR PA-C
NPI 1811434046
Physician Assistant in Raleigh, NC

Active since January 26, 2017PECOS EnrolledAccepts Medicare Assignment
3001 EDWARDS MILL RD, STE 200, RALEIGH, NC 27612(919) 871-5600(919) 863-6821 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2021, Apr 9, 2021, Jan 6, 2021 and 2 more (5 updates tracked since 2017).

About Thomas D Batchelor Pa-c NPPES

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

THOMAS D BATCHELOR PA-C (NPI 1811434046) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-06967) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811434046
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS D BATCHELORCredential: PA-C
Location Address3001 EDWARDS MILL RD, STE 200Raleigh, NC 27612-5243
Mailing Address3001 Edwards Mill Rd Ste 200Raleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6821
Fax(919) 863-6821
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 26, 2017
Last NPPES UpdateMay 6, 20215 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
NPI 1811434046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-06967
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3001 EDWARDS MILL RD, Raleigh, NC 27612

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

Thomas D Batchelor Pa-c 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 ID2466737028
PECOS Enrollment IDI20170322000170
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
152 services21 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.
122 services121 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services92 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.
66 services65 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.
49 services47 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
79%112 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
78%256 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
20%260 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
11%260 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%260 patients1/55-star benchmark: 89%
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

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier15 claims15 services$225.22 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.

Orthopaedic Surgery
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physician Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD, 300
RALEIGH, NC 27612
Physical Therapy Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Physical Therapist
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612

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 Batchelor's NPI number?

The NPI number for Thomas Batchelor is 1811434046. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Thomas Batchelor located?

Thomas Batchelor practices at 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612. The listed phone number is (919) 871-5600.

What is Thomas Batchelor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Batchelor enrolled in Medicare?

Yes. Thomas Batchelor 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 Batchelor accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Thomas Batchelor 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 Batchelor affiliated with any hospitals?

According to CMS data, Thomas Batchelor is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Batchelor was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.