Individual provider Active NPI

Thomas John Painter, M.D.

  • Surgery Physician
  • Chesapeake, VA
National Provider Identifier
1376834283
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101272650 Issued in VA
Practice address
113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714
Phone
(757) 842-4499
Fax
(757) 842-4490
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD23957 ME
Surgery Physician 208600000X ME115595 FL
Surgery Physician 208600000X 0101272650 VA Primary

Addresses

Primary practice location

113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

Other practice location 1

6451 N Federal Hwy
Ft Lauderdale, FL 33308-1402
Phone (217) 855-8233

Other identifiers 1

IdentifierTypeStateIssuer
0101272650OtherVALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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
I20210825000542 NC Practitioner - General Surgery 0840436135 Reassigns benefits to 1 organization
I20211118002330 VA Practitioner - General Surgery 0840436135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, 148 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Suite 400
Chesapeake, VA 23320-1714
Phone (757) 842-4499

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME115595FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Oct 1, 2021 Accepting new patients
Chesapeake Regional Medical Group Surgery CurrentSince Oct 1, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 1, 2021 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jun 1, 2025 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients

Locations

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

97 NC Highway 125
Roanoke Rapids, NC 27870
Phone (252) 537-1933

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

Interoperability endpoints

  • Direct secure messaging: thomas.painter.1@5072.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1376834283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 GAINSBOROUGH SQ STE 400",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233201714",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6451 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Ft Lauderdale",
            "state": "FL",
            "postal_code": "333081402",
            "country_code": "US",
            "telephone_number": "217-855-8233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD23957",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME115595",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101272650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101272650",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.