DR. THOMAS CRAIG DERIAN MD
NPI 1962463125
Orthopaedic Surgery in Durham, NC

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
4206 N ROXBORO STREET, SUITE 120, DURHAM, NC 27704(919) 479-4160(919) 479-4116 Get Directions Write a Review

NPPES record last updated: June 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas Craig Derian Md NPPES

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

DR. THOMAS CRAIG DERIAN MD (NPI 1962463125) is an individual orthopaedic surgery provider in Durham, North Carolina, licensed in North Carolina (31269) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1981).

NPPES Registry Identity

NPI1962463125
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS CRAIG DERIANCredential: MD
Location Address4206 N ROXBORO STREET, SUITE 120Durham, NC 27704-1868
Mailing Address4206 N Roxboro Street, Suite 120Durham, NC 27704-1868 · (919) 479-4160 · Fax (919) 479-4116
Fax(919) 479-4116
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1981
Enumeration DateMarch 29, 2006
Last NPPES UpdateJune 14, 2026
NPI 1962463125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 31269
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 31269 (NC)
4206 N ROXBORO STREET, Durham, NC 27704

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 Craig Derian 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 ID1557415825
PECOS Enrollment IDI20090820000659
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
4206 N ROXBORO STREET, SUITE 120
DURHAM, NC 27704

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 Derian's NPI number?

The NPI number for Thomas Derian is 1962463125. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Thomas Derian located?

Thomas Derian practices at 4206 N Roxboro Street Suite 120, Durham, NC 27704. The listed phone number is (919) 479-4160.

What is Thomas Derian's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Derian enrolled in Medicare?

Yes. Thomas Derian 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 Derian accept?

Health plans from Blue Cross and Blue Shield of NC list Thomas Derian 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 Derian was last updated on June 14, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.