2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1811254105 DO
Verify on CMS →

Thomas Whealton, DO

Pain Medicine (Anesthesiology) Physician in Corbin, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 4,020 in Pain Medicine (Anesthesiology) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration — see our methodology.

Federal data — no proprietary rating. We show these CMS records as-is — no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 791 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$933.59
14 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Thomas Whealton, DO reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 6,939 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
7K
Part D claims, 2023
>99%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Thomas Whealton, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Thomas Whealton, DO sits

This provider among pain medicine (anesthesiology) physician peers

Across the 1,110 pain medicine (anesthesiology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Whealton, DO writes more Part D claims than 93% of them and scores higher on MIPS quality than 27% — placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 93Thomas Whealton, DO — Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 27
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine (anesthesiology) physician peer from a representative sample of 60; the gold marker is Thomas Whealton, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Thomas Whealton, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Thomas Whealton, DO?

Below national average

NPI registry status

Active

Issued 04/12/2012

NPI 1811254105

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

6,939 319% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner — 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program — 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist — 4.8%Pharmacist4.8%Mental Health Counselor — 4.6%Mental Health Counselor4.6%Clinical Social Worker — 4.1%Clinical Social Worker4.1%Physical Therapist — 3.7%Physical Therapist3.7%Pain Medicine (Anesthesiology) Physician — 0%Pain Medicine (Anesthesiology) Physician0%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance — MIPS

Thomas Whealton, DO's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 75/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Thomas Whealton, DO appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding DO credentials at 1498 W CUMBERLAND GAP PKWY, Corbin, KY, 40701, with a listed phone of (606) 280-7875. NPI 1811254105 was issued on 04/12/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Whealton most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 6,939 prescription claims written by this provider, covering 791 Medicare beneficiaries and totaling roughly $171K in drug spend, split <1% brand-name and >99% generic by claim count, with an opioid prescribing rate of 69.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1498 W CUMBERLAND GAP PKWY
Corbin, KY 40701

Provider Details

NPI 1811254105
Specialty Pain Medicine (Anesthesiology) Physician
Credentials DO
Gender Male
NPI Issued 04/12/2012

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where Thomas Whealton, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Atlas Pain And Spine PLLC
Richmond, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Thomas Whealton, DO. Source: openpaymentsdata.cms.gov.

Total received

$934

Largest payer

Nevro Corp.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

Thomas Whealton, DO — brand share 1.0%
Pain Medicine (Anesthesiology) Physician average

<1% brand-name claims vs >99% generic, on 6,939 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

6,939
Total Claims
$171K
Total Drug Cost
791
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,991
Total Day Supply
196,195
Brand vs Generic
<1% brand / >99% generic
Brand Drug Cost
$27K
Generic Drug Cost
$144K
Opioid Claims
4,819 (69.4% rate)

Patient Demographics

Average Patient Age
65.1 years
Avg HCC Risk Score
1.72
Gender Split
57% female / 43% male
Age Distribution
<65: 353, 65-74: 295, 75-84: 116, 85+: 27

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Thomas Whealton, DO prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
2,543
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
1,716
Gabapentin
1,559
Pregabalin
322
Oxycodone Hcl
215
Morphine Sulfate Er
Morphine Sulfate
89
Tramadol Hcl
86
Hydromorphone Hcl
72
Methocarbamol
37
Tizanidine Hcl
30

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine (Anesthesiology) Physician Overview

How Thomas Whealton, DO fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

Thomas Whealton, DO's 6,939 claims are above the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Whealton.

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Kentucky medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pain Medicine (Anesthesiology) Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Thomas Whealton, DO's specialty?
Thomas Whealton, DO specializes in Pain Medicine (Anesthesiology) Physician and practices in Corbin, Kentucky. Credentials: DO.
How much does Thomas Whealton, DO prescribe under Medicare Part D?
In 2023, Thomas Whealton, DO wrote 6,939 Medicare Part D claims totaling $171K in drug costs for 791 beneficiaries.
What is Thomas Whealton, DO's Medicare quality score?
Thomas Whealton, DO has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Whealton, DO located?
Thomas Whealton, DO is located at 1498 W CUMBERLAND GAP PKWY, Corbin, KY, 40701. Phone: (606) 280-7875.
What is Thomas Whealton, DO's NPI number?
Thomas Whealton, DO's National Provider Identifier (NPI) is 1811254105, issued on 04/12/2012.
Does Thomas Whealton, DO prescribe more brand-name or generic drugs?
Thomas Whealton, DO's prescribing is <1% brand-name and >99% generic drugs by claim count, with $27K in brand drug costs.
Does Thomas Whealton, DO prescribe opioids?
Yes, Thomas Whealton, DO had 4,819 opioid claims in 2023 with an opioid prescribing rate of 69.4%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Thomas Whealton, DO prescribe most often?
Based on 2023 Medicare Part D data, Thomas Whealton, DO's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Whealton, DO accept Medicare?
Thomas Whealton, DO appears in CMS Medicare data with 6,939 Part D claims and 791 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Whealton, DO's credentials?
Thomas Whealton, DO's NPI is 1811254105 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.