Tomas Vybiral, M.D.
Internal Medicine, Cardiovascular Disease (M.D.) with Broad River Rehabilitation and 1 other group, practicing in Elkin, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $2,313,537 for 17,775 claims, against $312,217 paid for services in 2024. Abbott Laboratories was the largest of 6 companies reporting payments in 2025, $112.98 in all, mostly food and beverage. Lists Hugh Chatham Memorial Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1740285824 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 16, 2005 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 36845 | NC |
| Internal Medicine | 207R00000X | 36845 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Cardiovascular Disease (Cardiology) (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 745 |
|---|---|
| Services billed | 4,516 across 57 procedure codes |
| Paid by Medicare | $312,217 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17,775 · 39,486 30-day fills |
|---|---|
| Patients | 1,947 |
| Total drug cost | $2,313,537 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Secondary specialties | Internal Medicine |
Medical groups
- Broad River RehabilitationCharlotte, NC · 202 clinicians
- Blue Ridge Cardiology and Internal Medicine PAElkin, NC · 7 clinicians
Hospital affiliations
- Hugh Chatham Memorial HospitalElkin, NC
- North Carolina Baptist HospitalWinston-Salem, NC
- Northern Regional HospitalMount Airy, NC
- Novant Health Forsyth Medical CenterWinston-Salem, NC
- Wilkes Regional Medical CenterNorth Wilkesboro, NC
Other facilities
- Wake Forest Baptist Health Care at Home, LLCHome health agency · Wilkesboro, NC
- Yadkin Valley Home HealthHome health agency · Jonesville, NC
Industry payments (Open Payments)
- 2025$112.98 · 6 payments from 6 companies
- 2024$81.58 · 5 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbott Laboratories | $27.80 | 1 |
| Pfizer Inc. | $23.98 | 1 |
| Novo Nordisk Inc | $18.01 | 1 |
| Otsuka America Pharmaceutical, Inc. | $15.82 | 1 |
| Astrazeneca Pharmaceuticals LP | $13.80 | 1 |
What the 2025 payments were for
- Food and Beverage$112.98 · 6 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Internal Medicine, Cardiovascular Disease providers in Elkin
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All Internal Medicine, Cardiovascular Disease providers in North Carolina →