DR. THOMAS RUSSELL EVANS (DO) – Dermatology Physician, NPI 1568757086

DR. THOMAS RUSSELL EVANS (DO) is a healthcare provider. based in Portsmouth, Virginia. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. DO201198 (OR). The NPI Number for DR. THOMAS RUSSELL EVANS (DO) is 1568757086

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS RUSSELL EVANS (DO)
NPI
1568757086
Phone
Not provided
Address
620 JOHN PAUL JONES CIR
Enumeration Date
13 June 2011
Last Update Date
21 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417733636
Graduation Year
2011 (15 years ago)
PAC ID
5698015451
Group Practice PAC ID
9436122793
Professional Enrollment ID
I20210603001781
Address ID
OR975048131ME2959XBLVD302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

471 DERMATOLOGY in VA

Provider Addresses for DR. THOMAS RUSSELL EVANS (DO)

  • 620 JOHN PAUL JONES CIR

    PORTSMOUTH, VA 237082111

    Phone:

    Type: Mailing

  • 2959 SISKIYOU BLVD STE B

    MEDFORD, OR 975048131

    Phone: (541) 773-3636

    Fax: (541) 773-4643

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $1,792.

Total Amount is formed as General ($1,792) + Research ($0) + Ownership ($0) = $1,792.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($817).

Total Amount

$1,792

General + Research + Ownership

Payments

88

Total payment records

General Amount

$1,792

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190314001586IDermatologyNCTBD
I20210603001781IDermatologyORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths3,357510$0
99213Established patient office or other outpatient visit, 20-29 minutes1,140805$0
17000Destruction of precancer skin growth, 1 growth663542$0
88305Pathology examination of tissue using a microscope, intermediate complexity492247$0
11102Biopsy of related skin growth, first growth475402$0
View full utilization report →

Insurance plans in this area (ZIP 23708)

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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: 9436122793View full group profile
NameSpecialtyState
Dermatology, PathologyCO
Micrographic Dermatologic Surgery (Mds), DermatologyCA
-OR
D E R M A T O L O G YOR
D E R M A T O L O G YOR
-OR
Dermatology, PathologyOR
D E R M A T O L O G YTX
Micrographic Dermatologic Surgery (Mds), DermatologyOR
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for DR. THOMAS RUSSELL EVANS (DO) in U.S. healthcare records?
The official identifier for DR. THOMAS RUSSELL EVANS (DO) is NPI 1568757086.
Is DR. THOMAS RUSSELL EVANS (DO) shown as active in public data?
Registry records indicate DR. THOMAS RUSSELL EVANS (DO) maintains an active NPI.
What area of care is associated with DR. THOMAS RUSSELL EVANS (DO)?
DR. THOMAS RUSSELL EVANS (DO)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. THOMAS RUSSELL EVANS (DO) located near Portsmouth?
DR. THOMAS RUSSELL EVANS (DO) currently maps to Portsmouth, Virginia 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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