NPI registry status
Active
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 4,032 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
CMS neutral threshold · no category scores published
Industry payments
$933.59
14 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Thomas Whealton, DO carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 6,939 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 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 Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
6,939 ≥ 96th percentile 96% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 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?
CMS neutral score, not measuredPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
6,939 319% vs specialty avg
MIPS final score
75/100
Specialty distribution in Kentucky
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Kentucky providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
How MIPS and board certification work
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.
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%. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,032 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
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
CMS neutral threshold · not measured
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
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
2,543 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
1,716 claims
- Gabapentin
Gabapentin
1,559 claims
- Pregabalin 322
Pregabalin
322 claims
- Oxycodone Hcl 215
Oxycodone Hcl
215 claims
- Morphine Sulfate Er 89
Morphine Sulfate Er
89 claims
- Tramadol Hcl 86
Tramadol Hcl
86 claims
- Hydromorphone Hcl 72
Hydromorphone Hcl
72 claims
| 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.
More Pain Medicine (Anesthesiology) Physician in KY →
All providers in Kentucky →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Thomas Whealton, DO fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,032
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.
Dr. Ezekiel Akande
M.D.
Somerset, KY
Dr. Christopher Anderson
M.D.
Elizabethtown, KY
Dr. David Anderson
MD
Louisville, KY
Dr. Matthew Baker
M.D.
Danville, KY
Dr. Lee Balaklaw
M.D.
Louisa, KY
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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Kentucky
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. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 4,032 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.