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Dr. Thomas P. Vail, M.D.

Orthopedic Surgery (Orthopaedic Surgery Physician)

At a glance

In the NPI registry since
2006

Licensed in California since 2007, according to the Medical Board of California. We show license dates only for the states that publish them in bulk; see which states do. For other states, check the state medical board.

The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. NPIs were first issued in May 2005 and became required on claims in 2007–2008, so an early date usually means the clinician was already in practice before then. What an NPI is

Education and training

  • 2006Registered with an NPI (national billing number; not a license date) — NPIs began in 2005, so practice likely started earlier

Medicare’s Care Compare data doesn’t list this clinician’s medical school. Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).

Specialties and state licenses

  • Orthopaedic Surgery Physician primary
    CA license G71592 (first issued 2007; current) · NC license 34485

As reported to the NPI registry. To confirm a license is current, check the state medical board.

Map: Orthopedic Surgery per capita by county →

Medicare patients and services

Most frequent Medicare services, 2023
ServiceTimesPatients
Injection, ropivacaine hydrochloride, 1 mg22019
Established patient office or other outpatient visit, 20-29 minutes4644
Established patient office or other outpatient visit, 30-39 minutes3129
Replacement of knee joint, both sides of knee2424
Injection, methylprednisolone acetate, 80 mg2219
Replacement of thigh bone and hip joint with prosthesis1818
New patient office or other outpatient visit, 30-44 minutes1111

Medicare fee-for-service only. CMS leaves out services billed for fewer than 11 patients. These figures describe a practice’s Medicare work; they aren’t a measure of quality.

Payments from drug and device companies

In 2025, 2 companies reported 27 payments worth $1,079,168 in total to this clinician.

By company
DePuy Synthes Products, Inc.$1,079,151
Janssen Research & Development, LLC$17.20
By type
Royalty or License$1,061,767
Consulting Fee$15,840
Travel and Lodging$1,422
Food and Beverage$140

What the payments were for

Largest payments other than meals
DateCompanyWhat it was forAmount
Aug 28, 2025DePuy Synthes Products, Inc.
Aug 28, 2025
Royalty or License
ATTUNE · Ortho-Knee
$244,169
Mar 5, 2025DePuy Synthes Products, Inc.
Mar 5, 2025
Royalty or License
ATTUNE · Ortho-Knee
$152,340
May 28, 2025DePuy Synthes Products, Inc.
May 28, 2025
Royalty or License
ATTUNE · Ortho-Knee
$137,829
Nov 27, 2025DePuy Synthes Products, Inc.
Nov 27, 2025
Royalty or License
ATTUNE · Ortho-Knee
$134,842
May 9, 2025DePuy Synthes Products, Inc.
May 9, 2025
Royalty or License
ATTUNE · Ortho-Knee
$100,000
Dec 22, 2025DePuy Synthes Products, Inc.
Dec 22, 2025
Royalty or License
ATTUNE · Ortho-Knee
$83,971
Sep 22, 2025DePuy Synthes Products, Inc.
Sep 22, 2025
Royalty or License
ATTUNE · Ortho-Knee
$77,661
Jun 27, 2025DePuy Synthes Products, Inc.
Jun 27, 2025
Royalty or License
ATTUNE · Ortho-Knee
$62,089
Mar 24, 2025DePuy Synthes Products, Inc.
Mar 24, 2025
Royalty or License
ATTUNE · Ortho-Knee
$37,125
Jan 13, 2025DePuy Synthes Products, Inc.
Jan 13, 2025
Royalty or License
ATTUNE · Ortho-Knee
$25,873
All 21 payments other than meals, newest first
All payments other than meals
DateCompanyWhat it was forAmount
Dec 22, 2025DePuy Synthes Products, Inc.
Dec 22, 2025
Royalty or License
ATTUNE · Ortho-Knee
$83,971
Dec 11, 2025DePuy Synthes Products, Inc.
Dec 11, 2025
Royalty or License
ATTUNE · Ortho-Knee
$1,674
Dec 10, 2025DePuy Synthes Products, Inc.
Dec 10, 2025
Consulting Fee
EMPHASYS · Ortho-Hip
$720
Nov 27, 2025DePuy Synthes Products, Inc.
Nov 27, 2025
Royalty or License
ATTUNE · Ortho-Knee
$134,842
Oct 16, 2025DePuy Synthes Products, Inc.
Oct 16, 2025
Consulting Fee
EMPHASYS · Ortho-Hip
$12,960
Oct 16, 2025DePuy Synthes Products, Inc.
Oct 16, 2025
Travel and Lodging
EMPHASYS · Ortho-Hip · travel to DURHAM, NC
$176
Oct 8, 2025DePuy Synthes Products, Inc.
Oct 8, 2025
Travel and Lodging
EMPHASYS · Ortho-Hip · travel to Rayhnam, MA · in-kind
$195
Oct 8, 2025DePuy Synthes Products, Inc.
Oct 8, 2025
Travel and Lodging
EMPHASYS · Ortho-Hip · travel to Rayhnam, MA · in-kind
$161
Oct 7, 2025DePuy Synthes Products, Inc.
Oct 7, 2025
Travel and Lodging
EMPHASYS · Ortho-Hip · travel to Rayhnam, MA · in-kind
$195
Sep 25, 2025DePuy Synthes Products, Inc.
Sep 25, 2025
Travel and Lodging
EMPHASYS · Ortho-Hip · travel to Raynham, MA · in-kind
$695
Sep 22, 2025DePuy Synthes Products, Inc.
Sep 22, 2025
Royalty or License
ATTUNE · Ortho-Knee
$77,661
Aug 28, 2025DePuy Synthes Products, Inc.
Aug 28, 2025
Royalty or License
ATTUNE · Ortho-Knee
$244,169
Jul 23, 2025DePuy Synthes Products, Inc.
Jul 23, 2025
Consulting Fee
EMPHASYS · Ortho-Hip
$720
Jul 4, 2025DePuy Synthes Products, Inc.
Jul 4, 2025
Royalty or License
ATTUNE · Ortho-Knee
$4,193
Jun 27, 2025DePuy Synthes Products, Inc.
Jun 27, 2025
Royalty or License
ATTUNE · Ortho-Knee
$62,089
May 28, 2025DePuy Synthes Products, Inc.
May 28, 2025
Royalty or License
ATTUNE · Ortho-Knee
$137,829
May 9, 2025DePuy Synthes Products, Inc.
May 9, 2025
Royalty or License
ATTUNE · Ortho-Knee
$100,000
Mar 24, 2025DePuy Synthes Products, Inc.
Mar 24, 2025
Royalty or License
ATTUNE · Ortho-Knee
$37,125
Mar 5, 2025DePuy Synthes Products, Inc.
Mar 5, 2025
Royalty or License
ATTUNE · Ortho-Knee
$152,340
Feb 17, 2025DePuy Synthes Products, Inc.
Feb 17, 2025
Consulting Fee$1,440
Jan 13, 2025DePuy Synthes Products, Inc.
Jan 13, 2025
Royalty or License
ATTUNE · Ortho-Knee
$25,873

Each payment as the company reported it, with the products it named. Meals are counted in the totals above but not listed one by one.

From CMS Open Payments. A payment is not evidence of wrongdoing; many are for consulting, teaching or meals. Clinicians can review and dispute their records with CMS.

Who received the most in North Carolina →

Other Orthopedic Surgery clinicians in Durham

Sources

NPI registry (CMS NPPES, November 2026; record last updated March 5, 2020), Medicare Care Compare, Medicare Physician & Other Practitioners (2024), Medicare Part D Prescribers (2024) and Open Payments (2025). Information is self-reported or billed data and may be out of date; call before visiting.

NPI 1598852014. Official NPI registry record (opens in a new tab). Clinicians can correct their information in NPPES; changes appear here after our next monthly update.