Thomas Ramos
Physician Assistant • Durham, NC
4419 Ben Franklin Blvd
Durham, NC 277042147
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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NPI assigned on September 25, 2020; this date does not establish years in practice.
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Published CMS data list 15 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- G2211 — Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 361 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Sevelamer Carbonate — 57 prescription fills, including refills.
- Velphoro (Sucroferric Oxyhydroxide) — 48 prescription fills, including refills.
- Furosemide — 41 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Durham, NC (2024, 222 clinicians with data). Median for this group: 243. Middle half: 91 to 486.
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: 247. Middle half: 97 to 633.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 26 in 2021 to 15 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021–2024.
Practice Location & Contact Primary Location
4419 Ben Franklin Blvd
Durham, NC 277042147
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Durham Nephrology Associates Pa. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2020
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
48 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $197 in 2024
The total amount Medicare approved for these services in 2024. 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 – by Provider and Service, 2024.
Paid by Medicare
About $157 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 – by Provider and Service, 2024.
30-day fills
611 standardized 30-day fills in 2024
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
$155,882 in 2024
The total cost of these prescriptions in 2024, 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $850.57 across 43 records.
By nature of payment
- Food and Beverage: $850.57 across 43 records.
Reporting-company totals (3 largest of 14)
- Novartis Pharmaceuticals Corporation: $182.39 across 12 records.
- Travere Therapeutics, Inc.: $114.92 across 7 records.
- Bayer Healthcare Pharmaceuticals Inc.: $113.83 across 5 records.
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).
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
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)
Thomas Ramos 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 Thomas Ramos 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 services
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Durham, NC (2024, 222 clinicians with data). Median for this group: 243. Middle half: 91 to 486.
Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: 247. Middle half: 97 to 633.
Medicare-allowed amount
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Durham, NC (2024, 222 clinicians with data). Median for this group: $16,666. Middle half: $7,420 to $30,880.
A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: $18,109. Middle half: $8,017 to $38,319.
Paid by Medicare
A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Durham, NC (2024, 222 clinicians with data). Median for this group: $12,642. Middle half: $5,495 to $22,788.
A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in North Carolina (2024, 5,046 clinicians with data). Median for this group: $13,271. Middle half: $5,817 to $28,003.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Durham, NC (2024, 268 clinicians with data). Median for this group: 169. Middle half: 46 to 644.
Close to the middle for clinicians listed under Physician Assistant in North Carolina (2024, 5,283 clinicians with data). Median for this group: 331. Middle half: 99 to 1,141.
Part D drug cost
A higher Part D drug cost than 80% of clinicians listed under Physician Assistant in Durham, NC (2024, 268 clinicians with data). Median for this group: $3,154. Middle half: $349 to $76,623.
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in North Carolina (2024, 5,283 clinicians with data). Median for this group: $9,141. Middle half: $888 to $131,514.
532 active clinicians are listed under Physician Assistant with a practice address in Durham, NC (9,414 in North Carolina).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Durham
20.7% of these 532 clinicians have the CMS telehealth indicator.
56.8% of these 532 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 decreased 42% from 26 in 2021 to 15 in 2024.
- 2021: 26
- 2022: 51
- 2023: 14
- 2024: 15
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Medicare-allowed amount
Medicare-allowed amount decreased 92% from $2,377 in 2021 to $197 in 2024.
- 2021: $2,377
- 2022: $4,188
- 2023: $118
- 2024: $197
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Paid by Medicare
Paid by Medicare decreased 92% from $1,901 in 2021 to $157 in 2024.
- 2021: $1,901
- 2022: $2,992
- 2023: $118
- 2024: $157
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 850% from 38 in 2021 to 361 in 2024.
- 2021: 38
- 2022: 218
- 2023: 332
- 2024: 361
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30-day fills
30-day fills increased 786% from 69 in 2021 to 611 in 2024.
- 2021: 69
- 2022: 399
- 2023: 590
- 2024: 611
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Part D drug cost
Part D drug cost increased 99% from $78,486 in 2021 to $155,882 in 2024.
- 2021: $78,486
- 2022: $200,292
- 2023: $198,813
- 2024: $155,882
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $221.48 in 2021 to $850.57 in 2025.
- 2021: $221.48
- 2022: $262.88
- 2023: $443.78
- 2024: $678.21
- 2025: $850.57
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 – December 31, 2025): 43 records totaling $850.57.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Calliditas Therapeutics US Inc. |
Food and Beverage
In-kind items and services
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TARPEYO | General | $35.88 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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JYNARQUE | General | $29.55 |
| Travere Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
— | General | $29.34 |
| Mallinckrodt Hospital Products Inc. |
Food and Beverage
In-kind items and services
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ACTHAR | General | $28.92 |
| Otsuka America Pharmaceutical, Inc. |
Food and Beverage
In-kind items and services
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JYNARQUE | General | $27.86 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
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Fabhalta | General | $27.62 |
| Calliditas Therapeutics US Inc. |
Food and Beverage
In-kind items and services
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TARPEYO | General | $27.34 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $27.28 |
| Travere Therapeutics, Inc. |
Food and Beverage
In-kind items and services
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— | General | $26.23 |
| Vifor Pharma, Inc. |
Food and Beverage
In-kind items and services
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Veltassa | General | $25.45 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
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JARDIANCE | General | $25.14 |
| Mallinckrodt Hospital Products Inc. |
Food and Beverage
In-kind items and services
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ACTHAR | General | $24.54 |
| Vifor Pharma, Inc. |
Food and Beverage
In-kind items and services
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Veltassa | General | $24.41 |
| GlaxoSmithKline, LLC. |
Food and Beverage
In-kind items and services
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BENLYSTA | General | $24.11 |
| Fresenius USA Marketing, Inc. |
Food and Beverage
In-kind items and services
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VELPHORO | General | $23.81 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $23.51 |
| Fresenius USA Marketing, Inc. |
Food and Beverage
In-kind items and services
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VELPHORO | General | $23.06 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
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Kerendia | General | $23.01 |
| Apellis Pharmaceuticals, Inc. |
Food and Beverage
In-kind items and services
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Empaveli | General | $22.25 |
| Travere Therapeutics, Inc. |
Food and Beverage
In-kind items and services
|
— | General | $21.34 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
Vanrafia | General | $21.18 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $21.16 |
| Novartis Pharmaceuticals Corporation |
Food and Beverage
In-kind items and services
|
Vanrafia | General | $20.39 |
| Fresenius USA Marketing, Inc. |
Food and Beverage
In-kind items and services
|
VELPHORO | General | $20.09 |
| Bayer Healthcare Pharmaceuticals Inc. |
Food and Beverage
In-kind items and services
|
Kerendia | General | $18.87 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2022 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 – by Provider and Service data, 2021–2023; 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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G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
15 | 15 | $25.00 | $13.16 |
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Sevelamer Carbonate | Sevelamer Carbonate | 57 | 2,070 | $17,134.89 | 22 |
| Velphoro | Sucroferric Oxyhydroxide | 48 | 1,500 | $95,961.46 | 17 |
| Furosemide | Furosemide | 41 | 2,842 | $207.53 | 18 |
| Amlodipine Besylate | Amlodipine Besylate | 33 | 1,838 | $244.11 | 13 |
| Torsemide | Torsemide | 33 | 1,415 | $598.04 | — |
| Auryxia | Ferric Citrate | 33 | 1,050 | $34,257.48 | — |
| Carvedilol | Carvedilol | 27 | 2,040 | $204.44 | 16 |
| Metoprolol Succinate | Metoprolol Succinate | 24 | 1,484 | $125.50 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 21 | 1,170 | $179.95 | — |
| Midodrine Hcl | Midodrine Hcl | 17 | 1,082 | $485.52 | — |
| Losartan Potassium | Losartan Potassium | 16 | 1,357 | $59.55 | — |
| Eliquis | Apixaban | 11 | 385 | $6,423.11 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-03-11NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20201210001633
NC
8325450653
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Durham Nephrology Associates Pa
102 Professional Park, Oxford, NC 275652554
Phone: 9194773005
Durham Nephrology Associates Pa
4419 Ben Franklin Blvd, Durham, NC 277042147
Phone: 9194773005
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Registered Dietitian, Physician Assistant (Certified)
Internal Medicine - Nephrology
Internal Medicine - Nephrology
Doctor of Medicine (M.D.)
Internal Medicine - Nephrology
Doctor of Medicine (M.D.)
Internal Medicine - Nephrology
Doctor of Medicine (M.D.)
Internal Medicine - Nephrology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4419 BEN FRANKLIN BLVD, DURHAM, NC 277042147
NPI status registered as active in NPPES database
Registered at 4419 BEN FRANKLIN BLVD, DURHAM, NC 277042147 (Tel: 9194773005)
Registered at 2921 KINGSTON AVE, DURHAM, NC 277042484 (Tel: 9405953782)
Recorded as THOMAS RAMOS
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Durham
- Vaishali Cooper, PA-C
- Megan Brame, PA
- Diane Davis, PA-C
- Janelle Seddon, PA
- Eric Langhans, PA-C
- Mary Talley, PA-C
Mailing Address
4419 Ben Franklin Blvd
Durham, NC 277042147