THOMAS P PAXTON (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1013975093
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
80 THORACIC SURGERY in SC
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Provider Addresses for THOMAS P PAXTON (M.D.)
367, South Gulph Road, Gulph Mills Village, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
ATT: IPM CREDENTIALING
KING OF PRUSSIA, PA 194063121
Phone: (803) 641-4874
Type: Mailing
Miracle Lane, Kalmia Landing, Aiken, Aiken County, South Carolina, 29801, United States
AIKEN, SC 298016351
Phone: (803) 641-5544
Fax: (803) 641-5625
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $878.
Total Amount is formed as General ($878) + Research ($0) + Ownership ($0) = $878.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABIOMED ($342).
Total Amount
$878
General + Research + Ownership
Payments
12
Total payment records
General Amount
$878
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $342 |
| Silk Road Medical, Inc. | $163 |
| KLS-Martin L.P. | $125 |
| Edwards Lifesciences Corporation | $115 |
| Abbott Laboratories | $63 |
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: 2011-02-07
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110207000420 | I | Thoracic Surgery | SC | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 19406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Orthopedic Surgery | SC | |
| Orthopedic Surgery | GA | |
| Nurse Practitioner | PA | |
| Sports Medicine | NC | |
| - | GA | |
| Pulmonary Disease | GA | |
| N E U R O L O G Y | FL | |
| - | PA | |
| N E U R O L O G Y | SC |
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