Deactivated NPI 1760483689 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas Paul Mutton , MD

Surgery • Winston Salem, NC

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Mutton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 02, 2005

NPI Deactivation Date March 22, 2006

Total Practice Duration ~33 Years of Practice (1973 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Mutton, MD was a registered Surgery in Winston Salem, NC. Prior to record deactivation on 2006-03-22, Dr. Mutton completed approximately 33 years of clinical practice following graduation from Wake Forest University School Of Medicine in 1973.

Dr. Mutton maintained professional affiliations with Ashe Memorial Hospital Inc, Unc Physicians Network Llc and accepted Medicare assignment.

Historical Medicare Part B clinical services included follow-up hospital inpatient care per day, initial hospital inpatient care per day, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1900 S Hawthorne Rd
Suite 480

Winston Salem, NC 271033913

Telephone 3367650155

Fax 3367655494

Associated Practice Facility / Clinic

🏢 Womens Health Alliance Of The Piedmont Pa Facility NPI 1104817246

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

1973

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Winston Salem, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

53 Yrs +31.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

81 Specialists

Practicing in Winston Salem, NC (1222 Statewide)

Telehealth Adoption Rate

13.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mutton (53 Years) 53 Yrs

Winston Salem Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	17	$110.25	$37.66
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$297.31	$97.58

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	48	31	$99.00	$43.71
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	22	13	$60.00	$22.11
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$162.00	$73.42
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$95.00	$44.04
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$158.00	$69.99

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	45	33	$99.00	$43.36
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$162.00	$72.26
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$158.00	$71.79
99201 New patient office or other outpatient visit, typically 10 minutes	14	14	$95.00	$43.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$234.00	$99.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$158.00	$69.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$234.00	$102.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	19	$99.00	$41.76
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$162.00	$71.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$218.57	$102.88
99213 Established patient office or other outpatient visit, typically 15 minutes	24	19	$150.50	$68.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$320.26	$132.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	13	$99.00	$41.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$224.07	$96.64

Medical Specialties & State Licenses

CMS Verified: 2020-09-06

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 18688

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NC 18688

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8961648 (NC)

Commercial Insurance / Payer ID Wellpath

122902

Commercial Insurance / Payer ID Cigna Healthcare

1319922

Commercial Insurance / Payer ID Aetna

125882

Commercial Insurance / Payer ID Uhc

546165

Commercial Insurance / Payer ID Medcost

28536

Commercial Insurance / Payer ID Blue Cross/blueshield

61648

Commercial Insurance / Payer ID First Health Group

2072030

Hospital & Practice Group Affiliations

Unc Physicians Network Llc

940 Martin Luther King Jr Blvd, Chapel Hill, NC 275142601

Phone: 9199425123

Unc Physicians Network Llc

2700 Wayne Memorial Dr, Goldsboro, NC 275349494

Phone: 9195874394

Ashe Memorial Hospital Inc

200 Hospital Ave, Jefferson, NC 286409244

Phone: 3362467101

Unc Physicians Network Llc

100 Airport Rd, Kinston, NC 285011604

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Peter Parker , MD

Specialist

NPI 1194787473

Doctor of Medicine (M.D.)

Dr. Mark Thorne , MD

Surgery

NPI 1326000613

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 24, 2013

Registered at 1900 S HAWTHORNE RD, SUITE 480, WINSTON SALEM, NC 271033913 (Tel: 3367650155)

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Updated Business Mailing Address July 24, 2013

Registered at 1900 S HAWTHORNE RD, SUITE 480, WINSTON SALEM, NC 271033913 (Tel: 3367650155)

👤

Provider Name / Credentials Updated July 24, 2013

Recorded as THOMAS MUTTON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2013

Specialist (License #18688 in NC)

🔄

NPI Profile Reactivated March 27, 2006

Record officially reactivated for active practice on March 27, 2006

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NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢

Initial NPI Registration & Enumeration August 02, 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: 1760483689

Entity Type:

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

Enumeration Date: August 02, 2005

Last Update: October 25, 2020

Deactivation Date: March 22, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1900 S Hawthorne Rd, Suite 480

Winston Salem, NC 271033913

Phone: 3367650155

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.