Thomas Clayton Spangler, MD
NPI 1578520391ActiveIndividual· Orthopaedic Surgery· Winston-Salem, NC
Orthopaedic Surgery (MD) in Winston-Salem, North Carolina, trained at University of North Carolina at Chapel Hill School of Medicine (class of 1984). 122 Medicare patients in 2024, $79,019 paid; nearly all of their 543 Part D prescriptions were generic (99%).
Overview
| NPI | 1578520391 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 26, 2006 |
| Last updated in NPPES | Aug 15, 2025 |
| Certified by provider | Aug 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 33602 | NC |
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 - Orthopedic Surgery (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 3,784 across 72 procedure codes |
| Paid by Medicare | $79,019 |
Part D prescriptions in 2024
| Prescriptions (claims) | 543 · 597 30-day fills |
|---|---|
| Patients | 127 |
| Total drug cost | $6,563 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 1984 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- OrthocarolinaCharlotte, NC · 301 clinicians
Hospital affiliation
- Novant Health Forsyth Medical CenterWinston-Salem, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 58 orthopedic surgeons in Winston-Salem · All orthopedic surgeons in North Carolina