MRS. MARTHA C COMBS-WOOLUM MD
NPI 1033121017
Internal Medicine in Pineville, KY

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
251 S PINE ST, PINEVILLE, KY 40977(606) 337-3500(606) 337-5233 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2020, Apr 24, 2018 (2 updates tracked since 2018).

About Mrs. Martha C Combs-woolum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARTHA C COMBS-WOOLUM MD (NPI 1033121017) is an individual internal medicine provider in Pineville, Kentucky, licensed in Kentucky (26212) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Middlesboro Arh Hospital, and maintains a secondary practice location in Pineville.

NPPES Registry Identity

NPI1033121017
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. MARTHA C COMBS-WOOLUMCredential: MD
Location Address251 S PINE STPineville, KY 40977-1646
Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823
Fax(606) 337-5233
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1986
Enumeration DateAugust 11, 2006
Last NPPES UpdateOctober 2, 20202 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
NPI 1033121017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 26212
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

251 S PINE ST, Pineville, KY 40977

Secondary Practice Location 1

Location 1121 Virginia Ave, Ste F-200Pineville, KY 40977 · Phone (606) 337-0860 · Fax (606) 337-9956

Other Identifiers 1

Medicaid64262124KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Martha C Combs-woolum Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810079126
PECOS Enrollment IDI20080125000230
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
129 services89 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
95 services79 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
93 services74 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
50 services41 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
37 services28 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
22 services21 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Middlesboro Arh Hospital

Acute Care Hospitals · Middlesboro, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180020
Location3600 West Cumberland AvenueMiddlesboro, KY 40965 · Bell County
Emergency services Birthing friendly

Harlan Arh Hospital

Acute Care Hospitals · Harlan, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180050
Location81 Ball Park RoadHarlan, KY 40831 · Harlan County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Pineville Community Health Center, Inc

Acute Care Hospitals · Pineville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180154
Location850 Riverview AvenuePineville, KY 40977 · Bell County
Emergency services

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40977 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers55 claims187 services$5.50 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers19 claims28 services$1.05 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers50 claims97 services$1.67 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers17 claims17 services$98.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers17 claims41 services$43.40 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers15 claims15 services$18.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
251 S PINE ST
PINEVILLE, KY 40977
Nurse Practitioner (Family)
251 S PINE ST
PINEVILLE, KY 40977
Pharmacy (Community/Retail Pharmacy)
251 S PINE ST
PINEVILLE, KY 40977
Nurse Practitioner (Family)
251 S PINE ST
PINEVILLE, KY 40977
Nurse Practitioner (Psychiatric/Mental Health)
251 S PINE ST
PINEVILLE, KY 40977
Clinic/Center (Primary Care)
251 S PINE ST
PINEVILLE, KY 40977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Combs-woolum's NPI number?

The NPI number for Martha Combs-woolum is 1033121017. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Martha Combs-woolum located?

Martha Combs-woolum practices at 251 S Pine St, Pineville, KY 40977. The listed phone number is (606) 337-3500.

What is Martha Combs-woolum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Martha Combs-woolum enrolled in Medicare?

Yes. Martha Combs-woolum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Martha Combs-woolum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Martha Combs-woolum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Martha Combs-woolum affiliated with any hospitals?

According to CMS data, Martha Combs-woolum is affiliated with Middlesboro Arh Hospital, Harlan Arh Hospital, Baptist Health Corbin, Pineville Community Health Center, Inc and Claiborne Medical Center.

When was this NPI record last updated?

The NPPES record for Martha Combs-woolum was last updated on October 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.