Thomas Edison Skinner III, MSN, ACNP-BC
NPI 1144620113ActiveIndividual· Nurse Practitioner, Acute Care· Birmingham, AL
Nurse Practitioner, Acute Care (MSN, ACNP-BC) with Affinity Cardiovascular Specialists LLC, practicing in Birmingham, Alabama. Their prescriptions cost Medicare Part D more than their services did: $324,566 for 1,713 claims, against $34,087 paid for services in 2024. Amgen Inc. was the largest of 10 companies reporting payments in 2025, $932.91 in all, mostly food and beverage. Lists Grandview Medical Center as a hospital affiliation.
Overview
| NPI | 1144620113 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, ACNP-BC |
| Sole proprietor | No |
| NPI issued | Aug 27, 2014 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 1-131236 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 382 |
|---|---|
| Services billed | 635 across 13 procedure codes |
| Paid by Medicare | $34,087 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,713 · 4,270 30-day fills |
|---|---|
| Patients | 464 |
| Total drug cost | $324,566 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Affinity Cardiovascular Specialists LLCSylacauga, AL · 44 clinicians
Hospital affiliation
- Grandview Medical CenterBirmingham, AL
Industry payments (Open Payments)
- 2025$932.91 · 29 payments from 10 companies
- 2024$896.35 · 27 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Amgen Inc. | $272.95 | 4 |
| Bayer Healthcare Pharmaceuticals Inc. | $136.49 | 7 |
| Actelion Pharmaceuticals US, Inc. | $132.60 | 1 |
| Vital Connect, Inc | $111.61 | 1 |
| Pfizer Inc. | $97.73 | 5 |
What the 2025 payments were for
- Food and Beverage$932.91 · 29 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 457 acute care nurse practitioners in Birmingham · All acute care nurse practitioners in Alabama