DR. VELUPILLAI WIGNAKUMAR M.D, FRCS
NPI 1265495063
Surgery in Barbourville, KY

Q: What is Velupillai Wignakumar's NPI number?

The NPI number for Velupillai Wignakumar is 1265495063. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is Velupillai Wignakumar's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 11, 2006PECOS Enrolled

80.57/100

CMS Quality Rating

80 HOSPITAL DR, BARBOURVILLE, KY 40906(606) 545-5539(606) 545-5591 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Velupillai Wignakumar M.d, Frcs NPPES

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

DR. VELUPILLAI WIGNAKUMAR M.D, FRCS (NPI 1265495063) is an individual surgery provider in Barbourville, Kentucky, licensed in Kentucky (KY34425) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Pineville Community Health Center, Inc, and maintains a secondary practice location in Barbourville.

NPPES Registry Identity

NPI1265495063

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. VELUPILLAI WIGNAKUMARCredential: M.D, FRCS

Location Address80 HOSPITAL DRBarbourville, KY 40906-7363

Mailing Address1625 Nicholasville Road, Suite 201Lexington, KY 40503 · (859) 619-1372 · Fax (606) 545-5591

Phone(606) 545-5539

Fax(606) 545-5591

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateApril 11, 2006

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1265495063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in KY · KY34425

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

80 HOSPITAL DR, Barbourville, KY 40906

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Secondary Practice Location 1

Location 1726 Hway 25EBarbourville, KY 40906 · Phone (606) 277-0224

Other Identifiers 1

Medicaid64027055KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Velupillai Wignakumar M.d, Frcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214926922

PECOS Enrollment IDI20040508000027

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 Reassignments

Medicare enrollment records show Velupillai Wignakumar reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pineville Community Health Center Inc

11 mi

Nurse Anesthetist, Certified Registered

850 RIVERVIEW AVE
Pineville, KY 40977

Reassigned Medicare billing, Kentucky enrollment
25 clinicians in this Medicare group

NPI 1275192924 (606) 337-3051

Yalinie Medics LLC

11 mi

General Practice

850 RIVERVIEW AVE
Pineville, KY 40977

Reassigned Medicare billing, Kentucky enrollment
13 clinicians in this Medicare group

NPI 1992964944 (606) 277-0224

Pineville ER Services

12 mi

Rural Health

218 E PARK AVE
Pineville, KY 40977

Reassigned Medicare billing, Kentucky enrollment
3 clinicians in this Medicare group

NPI 1578194890 (606) 302-5464

Memorial Hospital, Inc.

21 mi

Multi-Specialty

65 GLENNDALE RD, SUITE 1
Manchester, KY 40962

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1255471827 (Kentucky)
123 clinicians in this Medicare group

NPI 1033510961 (606) 599-2508

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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

136 services44 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

88 services69 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

67 services50 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

49 services46 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

41 services35 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

34 services34 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40906 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

80.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

89.28

Improvement Activities

Cost

20.38

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%572 patients5/55-star benchmark: 100%

Patient-Centered Surgical Risk Assessment and Communication

Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…

96%572 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

31%249 patients2/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

99%249 patients4/55-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.

ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.

Pharmacy (Community/Retail Pharmacy)