NPPES file of Aug 9, 2026

Jerry L. Woolum, MD

Surgery Physician · Barbourville, KY

Jerry L. Woolum, MD is a surgery physician with a practice address in Barbourville, Kentucky, and NPI 1467464446, issued on Aug 11, 2006. Check the license (Kentucky 15458, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1467464446
Name
Jerry L. Woolum
Credential
MD
Primary taxonomy
Surgery Physician 208600000X
License number
15458 KY
Self-reported in NPPES; status is on the state search
Practice location
80 Hospital Dr Ste 2, Barbourville, KY 40906
Phone
(606) 545-4460
Enumerated
Aug 11, 2006
Record last updated
Aug 4, 2026
Fax
(606) 545-4469
Medicaid ID
64154586 KY
Medicare enrollment
Enrolled (PECOS I20101210000357); accepts Medicare assignment
Medical or professional school
University Of Kentucky College Of Medicine, 1969
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 80 Hospital Dr Ste 2

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kayla Bargo, APRNFamily Nurse Practitioner1730782699
  2. Melanie Chesnut, APRNNurse Practitioner1578756821
  3. Elizabeth Douglas, MDFamily Medicine Physician1972822757
  4. Paul Haney, MDSurgery Physician1649376542
  5. Casey PattersonFamily Nurse Practitioner1790534014
  6. Raju Vora, MDGastroenterology Physician1457367898

Verify Jerry L. Woolum in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersKentucky Board of Medical Licensure
    Search for license 15458
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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31.3 times the Medicare Part D claims of the average surgery physician in 2024

4,598 Medicare Part D claims for 187 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 300 claims were for opioids.

  1. Jerry Woolum4,598
  2. Specialty average147

Most prescribed

  1. Hydrocodone-Acetaminophen194 claims
  2. Gabapentin187 claims
  3. Metformin Hcl172 claims
  4. Pantoprazole Sodium158 claims
  5. Amlodipine Besylate151 claims
  6. Lisinopril141 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 97.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.6
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $570.51

33 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jerry Woolum$570.51
  2. Specialty average$3,513.80

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Arh Mary Breckinridge Health Services IncBarbourville, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jerry L. Woolum among 459 surgery physician records in Kentucky

Jerry L. Woolum, MD is one of 459 surgery physician records with a practice address in Kentucky. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.

  • NPI issued2006 · 18% of these records are older, 51% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated1969 · median 2005 among the 292 with a school on file
  • Record last updated2026 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

3 surgery physician records list a practice address in Barbourville

They are 3 of the 205 NPPES records with a practice address in Barbourville, and 459 surgery physician records in Kentucky.

The 8 surgery physician records with the nearest ZIP codes

  1. Paul Haney, MDBarbourville, KY 409061649376542
  2. Velupillai Wignakumar, M.D, FRCSBarbourville, KY 409061265495063
  3. Dana Edwards, M.D.Manchester, KY 409621164424131
  4. Jenny Sung, MDManchester, KY 409621346259173
  5. Gregory Wilkens, M.D.Manchester, KY 409621134214596
  6. Vincent Almagno, MDMiddlesboro, KY 409651750940953
  7. Charles Crumley, MDMiddlesboro, KY 409651932147519
  8. Amber Peace, DOMiddlesboro, KY 409651902162167

Common questions

What is Jerry L. Woolum, MD's NPI number?

Jerry L. Woolum, MD's National Provider Identifier (NPI) is 1467464446, issued on Aug 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jerry L. Woolum, MD located?

The NPPES record lists a practice address at 80 Hospital Dr Ste 2, Barbourville, KY, 40906. Phone: (606) 545-4460. Providers update this record themselves, so call before visiting.

How can I verify Jerry L. Woolum, MD's license?

NPPES lists Kentucky license number 15458, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jerry L. Woolum, MD prescribe under Medicare Part D?

In 2024, Jerry L. Woolum, MD had 4,598 Medicare Part D claims for 187 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Jerry L. Woolum, MD's MIPS final score?

The 2023 MIPS final score is 97.4 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.