TOMMY KAYE EARNHARDT PA
NPI 1821086620
Physician Assistant in Mount Pleasant, NC

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
8560 COOK ST, MOUNT PLEASANT, NC 28124(704) 436-6521 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 47 more (50 updates tracked since 2016).

About Tommy Kaye Earnhardt Pa NPPES

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

TOMMY KAYE EARNHARDT PA (NPI 1821086620) is an individual physician assistant in Mount Pleasant, North Carolina, licensed in North Carolina (100753) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1821086620
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTOMMY KAYE EARNHARDTCredential: PA
Location Address8560 COOK STMount Pleasant, NC 28124-7686
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 6, 2005
Last NPPES UpdateJuly 15, 202450 updates tracked since enumeration
NPI 1821086620 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 · 100753
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.
8560 COOK ST, Mount Pleasant, NC 28124

Secondary Practice Location 1

Location 1270 Copperfield Blvd NE, Ste 102Concord, NC 28025-2441 · Phone (704) 786-6521

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

Tommy Kaye Earnhardt Pa 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 ID5698868271
PECOS Enrollment IDI20070912000797
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

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.

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.
22 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28124 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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
8560 COOK ST
MT PLEASANT, NC 28124
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Clinic/Center (Rural Health)
8560 COOK ST
MT PLEASANT, NC 28124
Counselor
8560 COOK ST
MT PLEASANT, NC 28124
Student in an Organized Health Care Education/Training Program
8560 COOK ST
MT PLEASANT, NC 28124
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124
Psychiatry & Neurology (Neurology)
8560 COOK ST
MT PLEASANT, NC 28124
Family Medicine
8560 COOK ST
MOUNT PLEASANT, NC 28124

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 Tommy Earnhardt's NPI number?

The NPI number for Tommy Earnhardt is 1821086620. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Tommy Earnhardt located?

Tommy Earnhardt practices at 8560 Cook St, Mount Pleasant, NC 28124. The listed phone number is (704) 436-6521.

What is Tommy Earnhardt's specialty?

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

Is Tommy Earnhardt enrolled in Medicare?

Yes. Tommy Earnhardt 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 Tommy Earnhardt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Tommy Earnhardt 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 Tommy Earnhardt affiliated with any hospitals?

According to CMS data, Tommy Earnhardt is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Tommy Earnhardt was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.