THOMAS M. DARDEN JR. M.D.
NPI 1992779946
Orthopaedic Surgery in Albany, GA

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
619 POINTE NORTH BLVD, ALBANY, GA 31721(229) 883-4707(229) 435-1038 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2021, Apr 9, 2021 (2 updates tracked since 2021).

About Thomas M. Darden Jr. M.d. NPPES

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

THOMAS M. DARDEN JR. M.D. (NPI 1992779946) is an individual orthopaedic surgery provider in Albany, Georgia, licensed in Georgia (035846) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992779946
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS M. DARDEN JR.Credential: M.D.
Location Address619 POINTE NORTH BLVDAlbany, GA 31721-1514
Mailing AddressPo Box 407Albany, GA 31702-0407 · (229) 883-4707 · Fax (229) 435-1038
Fax(229) 435-1038
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 12, 20212 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
NPI 1992779946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 035846
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.
619 POINTE NORTH BLVD, Albany, GA 31721

Secondary Practice Locations 2

Location 1902 N 7th StCordele, GA 31015-3234 · Phone (229) 276-2185
Location 2910 N 5th StCordele, GA 31015-3254 · Phone (229) 276-2286

Other Identifiers 4

Other280545GA · Bcbsga
Other372315400Workers' Compensation
Other200035713GA · Railroad Medicare
Medicaid000509825CGA

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 M. Darden Jr. M.d. 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 ID8729120027
PECOS Enrollment IDI20100216000011
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 19

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.
458 services230 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
418 services102 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
190 services142 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
171 services114 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
136 services87 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.
85 services85 patients

Hospital Affiliations CMS Care Compare 2

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Crisp Regional Hospital

Acute Care Hospitals · Cordele, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110104
Location902 7th Street NorthCordele, GA 31015 · Crisp County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31721 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 10

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

Occupational Therapist
619 POINTE NORTH BLVD
ALBANY, GA 31721
Nurse Practitioner (Family)
619 POINTE NORTH BLVD
ALBANY, GA 31721
Orthopaedic Surgery
619 POINTE NORTH BLVD
ALBANY, GA 31721
Orthopaedic Surgery
619 POINTE NORTH BLVD
ALBANY, GA 31721
Occupational Therapist
619 POINTE NORTH BLVD
ALBANY, GA 31721
Physical Therapist
619 POINTE NORTH BLVD
ALBANY, GA 31721
Physical Therapist
619 POINTE NORTH BLVD
ALBANY, GA 31721
Orthopaedic Surgery
619 POINTE NORTH BLVD
ALBANY, GA 31721

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 Darden's NPI number?

The NPI number for Thomas Darden is 1992779946. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Thomas Darden located?

Thomas Darden practices at 619 Pointe North Blvd, Albany, GA 31721. The listed phone number is (229) 883-4707.

What is Thomas Darden's specialty?

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

Is Thomas Darden enrolled in Medicare?

Yes. Thomas Darden 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 Darden accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Thomas Darden 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 Darden affiliated with any hospitals?

According to CMS data, Thomas Darden is affiliated with Phoebe Putney Memorial Hospital and Crisp Regional Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Darden was last updated on April 12, 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.