DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) – Family Medicine Physician, NPI 1922095504

DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) is a healthcare provider. based in Tyndall afb, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials M.D., MBA, CPE. They hold a License No. MD066052L (PA). The NPI Number for DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) is 1922095504

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. THATCHER ROYAL CARDON (M.D., MBA, CPE)
NPI
1922095504
Phone
(850) 283-1296
Address
325 MDG, 340 MAGNOLIA CIRCLE
Enumeration Date
29 September 2005
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
7173393105
Graduation Year
1995 (31 years ago)
PAC ID
1254649213
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20250616001491
Address ID
PA173252516GE455XXSTRE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. THATCHER ROYAL CARDON (M.D., MBA, CPE)

  • 325 MDG, 340 MAGNOLIA CIRCLE

    TYNDALL AFB, FL 32403

    Phone: (850) 283-1296

    Type: Location

  • Mike O'Callaghan Military Medical Center, 4700, Las Vegas Boulevard North, Clark County, Nevada, 89191, United States

    NELLIS AFB, NV 891916600

    Phone: (702) 653-2050

    Type: Mailing

  • 2480 LLEWELLYN AVE

    FORT GEORGE G MEADE, MD 207557081

    Phone: (301) 619-7511

    Type: Location

  • 24 Antrim Commons Dr

    Greencastle, PA 172251623

    Phone: (717) 593-0512

    Type: Location

  • 455 S Washington St Ste 12

    Gettysburg, PA 173252516

    Phone: (717) 339-2875

    Type: Location

  • 446 N Reading Rd

    Ephrata, PA 175229802

    Phone: (717) 738-5275

    Type: Location

  • 9 Nathan Ln

    Annville, PA 170036500

    Phone: (717) 639-3350

    Type: Location

  • 1000 Norland Ave

    Chambersburg, PA 172014229

    Phone: (717) 267-6363

    Type: Location

  • 717 Town Center Dr

    York, PA 17408

    Phone: (717) 356-4240

    Type: Location

  • 2250 E Market St

    York, PA 174022857

    Phone: (717) 851-1566

    Type: Location

  • 2149 S Queen St

    York, PA 174034845

    Phone: (717) 356-4460

    Type: Location

  • 601 E Main St

    Waynesboro, PA 172682332

    Phone: (717) 765-5088

    Type: Location

  • 96 Sofia Dr

    Shrewsbury, PA 173615201

    Phone: (717) 812-2400

    Type: Location

  • 46 Walnut Bottom Rd Ste 100

    Shippensburg, PA 172578219

    Phone: (717) 477-2764

    Type: Location

  • 100 Eisenhower Dr

    Hanover, PA 173315241

    Phone: (717) 646-4201

    Type: Location

  • 101 W Airport Rd

    Lititz, PA 175439274

    Phone: (717) 466-2445

    Type: Location

  • 4050 N George Street Ext

    Manchester, PA 173459347

    Phone: (717) 356-4370

    Type: Location

  • 601 MEMORY LN

    YORK, PA 174022231

    Phone: (717) 851-1405

    Type: Mailing

  • 340 MAGNOLIA CIR

    TYNDALL AFB, FL 324035604

    Phone: (850) 283-7370

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250616001491IFamily PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

Reviews

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Frequently asked questions

How do payers reference DR. THATCHER ROYAL CARDON (M.D., MBA, CPE)?
For DR. THATCHER ROYAL CARDON (M.D., MBA, CPE), use NPI 1922095504 as the unique 10-digit identifier.
Is DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) still an active registrant?
DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) carries an active NPI according to the public dataset.
What area of care is associated with DR. THATCHER ROYAL CARDON (M.D., MBA, CPE)?
DR. THATCHER ROYAL CARDON (M.D., MBA, CPE)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) located near Tyndall Afb?
DR. THATCHER ROYAL CARDON (M.D., MBA, CPE) currently maps to Tyndall Afb, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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