Individual provider Active NPI

Derek Lee Tomes, MD, MD

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1194788554
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
FT6518736 Issued in NC
Practice address
3735 Glenlake Dr
Charlotte, NC 28208-6846
Phone
(704) 749-5801
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X FT6518736 NC Primary

Addresses

Primary practice location

3735 Glenlake Dr
Charlotte, NC 28208-6846

Mailing address

20 Soapstone Creek Rd
Arden, NC 28704-6542
Phone (828) 691-1175

Other identifiers 2

IdentifierTypeStateIssuer
P00375858OtherMORR MEDICARE
201725702MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060912000337 MO Practitioner - Anesthesiology 3577567270
I20170411000100 NC Practitioner - Anesthesiology 3577567270 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians
Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians
Mission Health Community Multispecialty Providers LLCGroup PAC ID 9537468574, 601 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 681-2420

1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Hospital & facility affiliations

  • Adventhealth Hendersonville Hospital, Hendersonville, NC, CCN 340023

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Dec 1, 2024 Accepting new patients
Fletcher Hospital Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Anesthesiology CurrentSince Feb 16, 2017 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 16, 2017 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Dec 1, 2023 Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Anesthesiology Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

Interoperability endpoints

  • Direct secure messaging: dtomes4267933@adventhealth.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1194788554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SOAPSTONE CREEK RD",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287046542",
            "telephone_number": "828-691-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 GLENLAKE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282086846",
            "telephone_number": "704-749-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMES, MD",
        "first_name": "DEREK",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "FT6518736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00375858",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201725702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.