Active NPI 1710973516 Individual Practitioner Female Practitioner

Dr. Tammy L Thore , MD

Surgery • Jefferson, NC

Professional Overview & Biography Verified Profile Summary

Dr. Tammy Thore, MD is a registered healthcare professional specializing in Surgery in Jefferson, NC. Practice services are available at 525 LUTHER RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 Luther Rd

Jefferson, NC 28640

Telephone 3368463315

Associated Practice Facility / Clinic

🏢 Charles W Jones Md Pa Facility NPI 1730225392

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jefferson, NC

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 34.0 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Jefferson, NC (1222 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$165.00	$105.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$88.00	$43.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$150.00	$104.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$220.00	$133.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1061.00	$77.57
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$102.00	$71.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	77	$88.00	$40.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$150.00	$100.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	53	$165.00	$100.32
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$102.00	$67.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	52	$1061.00	$79.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	36	$220.00	$128.16
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	32	32	$1488.00	$213.73
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$102.00	$69.47
43249 Balloon dilation of esophagus using an endoscope	20	20	$1125.00	$113.62
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$750.00	$83.86
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1483.33	$245.18
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1025.00	$167.75
17110 Destruction of up to 14 skin growths	15	12	$168.00	$102.98
47562 Removal of gallbladder using an endoscope	12	12	$1575.00	$588.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	107	98	$88.00	$41.39
99213 Established patient office or other outpatient visit, typically 15 minutes	94	77	$102.00	$69.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$150.00	$102.92
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	70	68	$1059.97	$77.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	48	$165.00	$102.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	50	$220.00	$132.20
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	50	50	$1476.22	$204.16
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$102.00	$71.39
43249 Balloon dilation of esophagus using an endoscope	27	25	$1142.67	$121.27
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$750.00	$96.84
17110 Destruction of up to 14 skin growths	19	16	$168.00	$98.96
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1025.00	$173.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1495.00	$245.91
47562 Removal of gallbladder using an endoscope	15	15	$1575.00	$591.82

Medical Specialties & State Licenses

CMS Verified: 2021-08-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 35534

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7983237 (NC)

Medicaid State Provider ID

010345359 (VA)

Medicaid State Provider ID

891046L (NC)

Commercial Insurance / Payer ID Partners

11982 (NC)

Commercial Insurance / Payer ID Cigna Healthcare

5277206002 (NC)

Commercial Insurance / Payer ID Railroad Medicare

770000140 (NC)

Commercial Insurance / Payer ID Medcost

43058 (NC)

Commercial Insurance / Payer ID Bcbs Nc

83237 (NC)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 01, 2021

Registered at 525 LUTHER RD, JEFFERSON, NC 28640 (Tel: 3368463315)

📍

Updated Practice Location April 25, 2019

Registered at 200 HOSPITAL AVE STE 5, JEFFERSON, NC 286409244 (Tel: 3362467779)

📍

Updated Business Mailing Address April 25, 2019

Registered at 200 HOSPITAL AVE STE 5, JEFFERSON, NC 286409244 (Tel: 3362467779)

✅

NPI Profile Active October 15, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2007

Registered at 12 WILLIS ST, SUITE B, SPARTA, NC 286759220 (Tel: 3363727696)

📍

Updated Business Mailing Address October 15, 2007

Registered at 12 WILLIS ST, SUITE B, SPARTA, NC 286759220 (Tel: 3363727696)

👤

Provider Name / Credentials Updated October 15, 2007

Recorded as TAMMY THORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2007

Surgery (License #35534 in NC)

🟢

Initial NPI Registration & Enumeration September 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710973516

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2005

Last Update: September 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Hospital Ave Ste 5

Jefferson, NC 286409244

Phone: 3362467779

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.