Theresa R. Wolfe, M.D.
Spinal Cord Injury Medicine Physician · Lexington, KY
Theresa R. Wolfe, M.D. is a spinal cord injury medicine physician with a practice address in Lexington, Kentucky, and NPI 1316152069, issued on May 14, 2007. Check the license (Kentucky 44623, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Theresa R. Wolfe
- Credential
- M.D.
- Primary taxonomy
- Spinal Cord Injury Medicine Physician 2081P0004X
- License number
- 44623 KY
Self-reported in NPPES; status is on the state search - Practice location
- 1207 S Broadway, Lexington, KY 40504
- Phone
- (859) 258-4312
- Enumerated
- May 14, 2007
- Record last updated
- Apr 9, 2025
- Medicaid ID
- 7100175110 KY
- Medicare enrollment
- Enrolled (PECOS I20110907001103); accepts Medicare assignment
- Medical or professional school
- Jc Edwards School Of Medicine, Marshall University, 2006
- Entity
- Type 1 · individual
6 nearest spinal cord injury medicine physician records → All 7 in Kentucky → Look up another NPI →
Also registered at 1207 S Broadway
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jerry Abney, OTR/L, CHTHand Occupational Therapist1033132550
- Madden Adams, PT, DPTPhysical Therapist1457202426
- Bethany Begley, PA-CPhysician Assistant1598188476
- David Blake, MDNeurology Physician1295837094
- Kathleen Campbell, PA-CPhysician Assistant1093339640
- Justin Clark, PT, DPTPhysical Therapist1124861034
Verify Theresa R. Wolfe in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 44623Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% fewer Medicare Part D claims than the average spinal cord injury medicine physician in 2024
203 Medicare Part D claims for 51 beneficiaries, against an average of 487 among the 99 providers of this specialty who prescribed in Part D. Brand-name drugs were 8% of claims. 12 claims were for opioids.
Most prescribed
- Gabapentin53 claims
- Pregabalin16 claims
- Sumatriptan Succinate15 claims
- Dantrolene Sodium14 claims
- Naproxen14 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 practice group's MIPS final score for 2023 (Medicare payment program): 80.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $19.03
1 payment: food and beverage; the largest payer was Scilex Pharmaceuticals Inc. The 56 providers of this specialty with any payment received $1,104.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- New Lexington Clinic PscLexington, KY
- Premier Therapy And Health Centers IncGrayson, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Spinal Cord Injury Medicine Physician providers in Kentucky
There are 7 spinal cord injury medicine physician records in Kentucky.
All 7 in Kentucky → Every provider in Lexington → Spinal Cord Injury Medicine Physician nationwide →
The 6 spinal cord injury medicine physician records with the nearest ZIP codes
- Zakari Dymock, MDLexington, KY 405041477180776
- Ihab Labatia, MDLexington, KY 405041093776841
- Sara Shahid Salles, DOLexington, KY 405361578599155
- Dhruvil BrahmbhattLouisville, KY 402061235662123
- Chinenye Nnoromele, M.D.Louisville, KY 402021467912451
- Joseph Carlock, M.D.Elizabethtown, KY 427011881822674
Common questions
What is Theresa R. Wolfe, M.D.'s NPI number?
Theresa R. Wolfe, M.D.'s National Provider Identifier (NPI) is 1316152069, issued on May 14, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Theresa R. Wolfe, M.D. located?
The NPPES record lists a practice address at 1207 S Broadway, Lexington, KY, 40504. Phone: (859) 258-4312. Providers update this record themselves, so call before visiting.
How can I verify Theresa R. Wolfe, M.D.'s license?
NPPES lists Kentucky license number 44623, 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 R. Wolfe, M.D. prescribe under Medicare Part D?
In 2024, Theresa R. Wolfe, M.D. had 203 Medicare Part D claims for 51 beneficiaries; the average among spinal cord injury medicine physician prescribers was 487. Part D covers Medicare prescriptions only.
What is Theresa R. Wolfe, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.9 of 100, reported for the practice group. 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.