1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Internal Medicine
  6. NPI Profile

THOMAS NASH RUSHER MD
NPI 1982135083
Internal Medicine - Pulmonary Disease in Raleigh, NC

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
95.39/100
CMS Quality Rating
3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-7270(919) 350-7204 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2023, May 4, 2023, Mar 21, 2017 (3 updates tracked since 2017).

About Thomas Nash Rusher Md NPPES

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

THOMAS NASH RUSHER MD (NPI 1982135083) is an individual pulmonary disease provider in Raleigh, North Carolina, licensed in North Carolina (2022-02863) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains a secondary practice location in Cary.

NPPES Registry Identity

NPI1982135083
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTHOMAS NASH RUSHERCredential: MD
Location Address3000 NEW BERN AVERaleigh, NC 27610-1231
Mailing AddressPo Box 603949Charlotte, NC 28260-3949 · (877) 498-4490 · Fax (919) 350-8991
Phone(919) 350-7270
Fax(919) 350-7204
Sole ProprietorYes
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateAugust 17, 20233 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1982135083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NC · 2022-02863
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2022-02863 (NC)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2022-02863 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610
Open in Google Maps ↗

Secondary Practice Location 1

Location 11900 Kildaire Farm RdCary, NC 27518-6616 · Phone (919) 350-7270 · Fax (919) 350-7204

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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 Nash Rusher 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 ID4183033749
PECOS Enrollment IDI20230726003121
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
86 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
47 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services22 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.
22 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

95.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.76
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.

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ADAM PETER LISEWSKI OT
Occupational Therapist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Rusher's NPI number?

The NPI number for Thomas Rusher is 1982135083. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Thomas Rusher located?

Thomas Rusher practices at 3000 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-7270.

What is Thomas Rusher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Thomas Rusher enrolled in Medicare?

Yes. Thomas Rusher 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 Rusher accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Thomas Rusher 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 Rusher affiliated with any hospitals?

According to CMS data, Thomas Rusher is affiliated with Wakemed, Raleigh Campus, Johnston Health and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Rusher was last updated on August 17, 2023. 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.