NPPES file of Aug 9, 2026

Theresa V. Case, D.O.

Pulmonary Disease Physician · Lexington, KY

Theresa V. Case, D.O. is a pulmonary disease physician with a practice address in Lexington, Kentucky, and NPI 1447543293, issued on May 25, 2011. Check the license (Kentucky 03741, 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
1447543293
Name
Theresa V. Case
Credential
D.O.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
03741 KY
Self-reported in NPPES; status is on the state search
Practice location
University OF Kentucky Kentucky Clinic L543, Lexington, KY 40536
Phone
(859) 323-9555
Enumerated
May 25, 2011
Record last updated
Dec 7, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(859) 257-2418
Medicare enrollment
Enrolled (PECOS I20251001002840); accepts Medicare assignment
Medical or professional school
University Of Pikeville, Kentucky College Of Osteopathic Med, 2011
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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Verify Theresa V. Case 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 03741
    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

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18% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

1,167 Medicare Part D claims for 209 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 59% of claims.

  1. Theresa Case1,167
  2. Specialty average1,425

Most prescribed

  1. Trelegy Ellipta123 claims
  2. Albuterol Sulfate Hfa119 claims
  3. Azithromycin97 claims
  4. Prednisone81 claims
  5. Stiolto Respimat67 claims
  6. Breztri Aerosphere66 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): 95.5 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 score89.6
  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: $1,227.40

55 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Theresa Case$1,227.40
  2. Specialty average$5,159.88

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

One hospital affiliation

  1. Memorial Hospital AT GulfportGulfport, MS · Acute Care Hospitals3 of 5 stars

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Theresa V. Case among 235 pulmonary disease physician records in Kentucky

Theresa V. Case, D.O. is one of 235 pulmonary disease physician records with a practice address in Kentucky. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 66% of them.

  • NPI issued2011 · 66% of these records are older, 30% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2011 · median 2005 among the 177 with a school on file
  • Record last updated2020 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Kentucky

There are 235 pulmonary disease physician records in Kentucky.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Ketan Buch, MDLexington, KY 405361376554329
  2. Sanjay Dhar, M.D., FACPLexington, KY 405361043373707
  3. Margaret Disselkamp, MDLexington, KY 405361750515979
  4. Dennis Doherty, MDLexington, KY 405361053328880
  5. Anthony Gerber, MDLexington, KY 405361851338008
  6. Edward Hirschowitz, MDLexington, KY 405361508875311
  7. Mehdi Khosravi, M.D.Lexington, KY 405361942262506
  8. Steve Kraman, M.D.Lexington, KY 405361790707636

Common questions

What is Theresa V. Case, D.O.'s NPI number?

Theresa V. Case, D.O.'s National Provider Identifier (NPI) is 1447543293, issued on May 25, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Theresa V. Case, D.O. located?

The NPPES record lists a practice address at University OF Kentucky Kentucky Clinic L543, Lexington, KY, 40536. Phone: (859) 323-9555. Providers update this record themselves, so call before visiting.

How can I verify Theresa V. Case, D.O.'s license?

NPPES lists Kentucky license number 03741, 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 Theresa V. Case, D.O. prescribe under Medicare Part D?

In 2024, Theresa V. Case, D.O. had 1,167 Medicare Part D claims for 209 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Theresa V. Case, D.O.'s MIPS final score?

The 2023 MIPS final score is 95.5 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.