Dr. Thomas P Vail , MD
Orthopaedic Surgery โข Durham, NC
4101 N Roxboro St
Durham, NC 277042121
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Thomas Vail is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on October 6, 2006; this date does not establish years in practice.
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Published CMS data list 372 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- J2795 โ Injection, ropivacaine hydrochloride, 1 mg: 220 service units.
- 99213 โ Established patient outpatient office visit: 46 service units.
- 99214 โ Established patient outpatient office visit: 31 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 31 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Celecoxib โ 18 prescription fills, including refills.
- Meloxicam โ 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 287 in 2019 to 372 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2019โ2023.
Practice Location & Contact Primary Location
4101 N Roxboro St
Durham, NC 277042121
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $70,851 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $55,018 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
31 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,050 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $1,079,168.35 across 27 records.
By nature of payment (3 largest of 4)
- Royalty or License: $1,061,766.71 across 12 records.
- Consulting Fee: $15,840.00 across 4 records.
- Travel and Lodging: $1,421.99 across 5 records.
Reporting-company totals
- DePuy Synthes Sales Inc.: $1,079,151.15 across 26 records.
- Janssen Research & Development, LLC: $17.20 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Vail has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Vail as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Durham and North Carolina
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Vail are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Vail are from 2023.
79 active clinicians are listed under Orthopaedic Surgery with a practice address in Durham, NC (977 in North Carolina).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Durham
13.9% of these 79 clinicians have the CMS telehealth indicator.
54.4% of these 79 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 30% from 287 in 2019 to 372 in 2023.
- 2019: 287
- 2020: 302
- 2021: 251
- 2022: 295
- 2023: 372
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Medicare-allowed amount
Medicare-allowed amount decreased 54% from $155,107 in 2019 to $70,851 in 2023.
- 2019: $155,107
- 2020: $147,158
- 2021: $136,020
- 2022: $139,317
- 2023: $70,851
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Paid by Medicare
Paid by Medicare decreased 55% from $121,570 in 2019 to $55,018 in 2023.
- 2019: $121,570
- 2020: $114,747
- 2021: $107,222
- 2022: $108,682
- 2023: $55,018
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 31 in 2019 and 31 in 2023.
- 2019: 31
- 2020: 58
- 2021: 27
- 2022: 14
- 2023: 31
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30-day fills
30-day fills decreased 19% from 39 in 2019 to 31 in 2023.
- 2019: 39
- 2020: 69
- 2021: 36
- 2022: 18
- 2023: 31
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Part D drug cost
Part D drug cost went from $636 in 2019 to $1,050 in 2023.
- 2019: $636
- 2020: $2,062
- 2021: $587
- 2022: $664
- 2023: $1,050
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 38% from $779,584.55 in 2021 to $1,079,168.35 in 2025.
- 2021: $779,584.55
- 2022: $941,119.38
- 2023: $731,121.74
- 2024: $771,517.32
- 2025: $1,079,168.35
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 27 records totaling $1,079,168.35.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
|
ATTUNE | General | $244,169.40 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $152,340.17 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $137,829.22 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $134,841.59 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $100,000.00 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $83,971.10 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $77,660.72 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $62,089.10 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $37,125.45 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $25,873.21 |
| DePuy Synthes Sales Inc. |
Consulting Fee
Cash or cash equivalent
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EMPHASYS | General | $12,960.00 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
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ATTUNE | General | $4,193.07 |
| DePuy Synthes Sales Inc. |
Royalty or License
Cash or cash equivalent
|
ATTUNE | General | $1,673.68 |
| DePuy Synthes Sales Inc. |
Consulting Fee
Cash or cash equivalent
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โ | General | $1,440.00 |
| DePuy Synthes Sales Inc. |
Consulting Fee
Cash or cash equivalent
|
EMPHASYS | General | $720.00 |
| DePuy Synthes Sales Inc. |
Consulting Fee
Cash or cash equivalent
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EMPHASYS | General | $720.00 |
| DePuy Synthes Sales Inc. |
Travel and Lodging
In-kind items and services
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EMPHASYS | General | $694.90 |
| DePuy Synthes Sales Inc. |
Travel and Lodging
In-kind items and services
|
EMPHASYS | General | $195.25 |
| DePuy Synthes Sales Inc. |
Travel and Lodging
In-kind items and services
|
EMPHASYS | General | $195.25 |
| DePuy Synthes Sales Inc. |
Travel and Lodging
Cash or cash equivalent
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EMPHASYS | General | $175.74 |
| DePuy Synthes Sales Inc. |
Travel and Lodging
In-kind items and services
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EMPHASYS | General | $160.85 |
| DePuy Synthes Sales Inc. |
Food and Beverage
Cash or cash equivalent
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EMPHASYS | General | $41.73 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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EMPHASYS | General | $36.83 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
|
EMPHASYS | General | $25.48 |
| Janssen Research & Development, LLC |
Food and Beverage
In-kind items and services
|
โ | General | $17.20 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J2795
Injection, ropivacaine hydrochloride, 1 mg
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220 | 19 | $2.23 | $0.07 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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46 | 44 | $393.00 | $75.07 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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31 | 29 | $577.00 | $109.93 |
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27447
Replacement of knee joint, both sides of knee
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24 | 24 | $7984.00 | $1518.21 |
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J1040
Injection, methylprednisolone acetate, 80 mg
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22 | 19 | $48.96 | $11.82 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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18 | 18 | $7465.00 | $1459.01 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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11 | 11 | $575.00 | $92.33 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Celecoxib | Celecoxib | 18 | 478 | $1,012.15 | โ |
| Meloxicam | Meloxicam | 13 | 390 | $38.09 | โ |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-03-05NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20070614000770
CA
4082712070
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Infectious Disease
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Student in an Organized Health Care Education/Training Program
Surgery
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)
Student in an Organized Health Care Education/Training Program
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1500 OWENS ST, STE 170, SAN FRANCISCO, CA 941582335 (Tel: 9196848111)
Orthopaedic Surgery (license number reported to NPPES: CA G71592)
NPI status registered as active in NPPES database
Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)
Registered at 4101 N ROXBORO ST, DURHAM, NC 277042121 (Tel: 9196848111)
Recorded as THOMAS VAIL, M.D.
Orthopaedic Surgery (license number reported to NPPES: NC 34485)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Durham
- Dr. Julia Visgauss, MD
- Dr. Michael Bolognesi, MD
- Dr. Dominic Woodson, DO
- Dr. Jamal Fitts, MD
- Dr. Marc Richard, MD
- Dr. Nicholas Viens, MD
Mailing Address
1500 Owens St, Ste 170
San Francisco, CA 941582335
Phone: 9196848111