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DR. DANIEL S WOOLLEY MD
NPI 1104879709
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Du Bois, PA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
145 HOSPITAL AVE, SUITE 206, DU BOIS, PA 15801(814) 375-2040(814) 375-2045 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Daniel S Woolley Md NPPES

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

DR. DANIEL S WOOLLEY MD (NPI 1104879709) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD-051074-L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Temple University School Of Medicine (1991).

NPPES Registry Identity

NPI1104879709
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. DANIEL S WOOLLEYCredential: MD
Location Address145 HOSPITAL AVE, SUITE 206Du Bois, PA 15801-1462
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-2040 · Fax (814) 375-2045
Phone(814) 375-2040
Fax(814) 375-2045
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1991
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 28, 2022
✔ NPI 1104879709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in PA · MD-051074-L
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
145 HOSPITAL AVE, Du Bois, PA 15801
Open in Google Maps ↗

Other Identifiers 1

Medicaid101348670PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel S Woolley 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 ID8123064748
PECOS Enrollment IDI20140707002125
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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Woolley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiac Surgical Associates, LLC
251 mi
Surgery
1602 SKIPWITH RD
Richmond, VA 23229
  • Reassigned Medicare billing, Virginia enrollment
  • 14 clinicians in this Medicare group
NPI 1053556506 (804) 320-2751

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
75 services75 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services57 patients
Adhesion of linings of lung using an endoscope 32650
This procedure, performed with an endoscope, helps to stick the lung linings together. It's often used to treat lung conditions, like a collapsed lung. The endoscope allows a non-invasive approach, reducing recovery time.
25 services25 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
25 services23 patients
Initial removal of wedge of lung tissue using an endoscope 32666
This procedure involves the use of an endoscope, a thin tube with a light and camera, to view and remove a small wedge of lung tissue. It's performed to diagnose or treat lung conditions. The process is minimally invasive, reducing recovery time.
17 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
90%31 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%154 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

GREGORY LOUIS CARPENTER PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
MELISSA MARIE HILLIARD PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 301
DU BOIS, PA 15801
Clearfield County (814) 375-4000
CURTIS MICHAEL GRENOBLE P.A.-C
Physician Assistant (Medical)
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
STEPHEN M. KRUK D.O.
Internal Medicine
145 HOSPITAL AVE, SUITE 215
DU BOIS, PA 15801
Clearfield County (814) 371-1717
MARK A. PIASIO M.D.
Orthopaedic Surgery
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-9617
WOMENS CARE OF WESTERN PENNSYLVANIA LLC
Obstetrics & Gynecology
145 HOSPITAL AVE, SUITE 315
DU BOIS, PA 15801
Clearfield County (814) 371-6172
DR. BRENT AARON BARNES DO
Internal Medicine (Cardiovascular Disease)
145 HOSPITAL AVE, STE 211
DUBOIS, PA 15801
Clearfield County (814) 375-3722
DR. JAWAHAR N SUVARNAKAR M.D.
Internal Medicine
145 HOSPITAL AVE, SUITE 204
DU BOIS, PA 15801
Clearfield County (814) 371-7757

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 Daniel Woolley's NPI number?

The NPI number for Daniel Woolley is 1104879709. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Daniel Woolley located?

Daniel Woolley practices at 145 Hospital Ave Suite 206, Du Bois, PA 15801. The listed phone number is (814) 375-2040.

What is Daniel Woolley's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Daniel Woolley enrolled in Medicare?

Yes. Daniel Woolley 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.

Which organization bills Medicare for Daniel Woolley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Woolley reassigns Medicare benefits to Cardiac Surgical Associates, LLC (Richmond, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Woolley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Woolley accept?

Health plans from Oscar Health list Daniel Woolley 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 Daniel Woolley affiliated with any hospitals?

According to CMS data, Daniel Woolley is affiliated with John Randolph Medical Center, Bon Secours Southside Medical Center, Cjw Medical Center and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Woolley was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.