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DAVID A WOOLDRIDGE MD
NPI 1053376301
Hospitalist in Kansas City, MO

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4401 WORNALL RD, KANSAS CITY, MO 64111(816) 932-0340(816) 932-3148 Get Directions Write a Review

NPPES record last updated: January 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David A Wooldridge Md NPPES

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

DAVID A WOOLDRIDGE MD (NPI 1053376301) is an individual hospitalist provider in Kansas City, Missouri, licensed in Missouri (105963) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1994).

NPPES Registry Identity

NPI1053376301
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDAVID A WOOLDRIDGECredential: MD
Location Address4401 WORNALL RDKansas City, MO 64111-3220
Mailing Address901 E 104th StKansas City, MO 64131-4517 · (816) 502-8752 · Fax (816) 932-9670
Phone(816) 932-0340
Fax(816) 932-3148
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1994
Enumeration DateApril 19, 2006
Last NPPES UpdateJanuary 16, 2017
✔ NPI 1053376301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MO · 105963✔ Licensed in KS · 04-33185
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 04-33185 (KS), 1053376301 (MO)
4401 WORNALL RD, Kansas City, MO 64111
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.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

David A Wooldridge 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 ID6507931615
PECOS Enrollment IDI20080822000712
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.

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

Other Providers at the Same Location NPPES 20

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

TANESHA ANTANETTE HURT RN
Registered Nurse (Neonatal Intensive Care)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2007
MARIA AKRAM SHEIKH M.D.
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
YURI SHIF M.D.
Radiology (Diagnostic Radiology)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2550
LAURA SHELBY REYNOLDS CAA
Anesthesiologist Assistant
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2000
TYLER PORTER MD
Internal Medicine
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
DR. LISA MARIE HERMES M.D.
Physical Medicine & Rehabilitation
4401 WORNALL RD, REHAB PHYSICIANS MEDICAL GROUP, MAIN 4
KANSAS CITY, MO 64111
Jackson County (816) 932-2020
CHRISTINE M. SANKPILL M.D.
Hospitalist
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-0340
DR. JOHN LOREI M.D.
Emergency Medicine (Emergency Medical Services)
4401 WORNALL RD
KANSAS CITY, MO 64111
Jackson County (816) 932-2047

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 David Wooldridge's NPI number?

The NPI number for David Wooldridge is 1053376301. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is David Wooldridge located?

David Wooldridge practices at 4401 Wornall Rd, Kansas City, MO 64111. The listed phone number is (816) 932-0340.

What is David Wooldridge's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Wooldridge enrolled in Medicare?

Yes. David Wooldridge 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 David Wooldridge accept?

Health plans from Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Kansas City list David Wooldridge 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 David Wooldridge affiliated with any hospitals?

According to CMS data, David Wooldridge is affiliated with St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for David Wooldridge was last updated on January 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.