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DR. CLAUDE D WOOLLEN MD
NPI 1306811443
Surgery in Spartanburg, SC

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1330 BOILING SPRINGS RD, NORTH GROVE MEDICAL PARK SUITE 2300, SPARTANBURG, SC 29303(864) 585-6491 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2021, Feb 16, 2018 (2 updates tracked since 2018).

About Dr. Claude D Woollen Md NPPES

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

DR. CLAUDE D WOOLLEN MD (NPI 1306811443) is an individual surgery provider in Spartanburg, South Carolina, licensed in South Carolina (16165) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (1991).

NPPES Registry Identity

NPI1306811443
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CLAUDE D WOOLLENCredential: MD
Location Address1330 BOILING SPRINGS RD, NORTH GROVE MEDICAL PARK SUITE 2300Spartanburg, SC 29303-2244
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 585-6491
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1991
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1306811443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 16165
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.
1330 BOILING SPRINGS RD, Spartanburg, SC 29303
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Other Identifiers 5

Other197526SC · Medcost
OtherG005647628SC · Medicare Pin
Medicaid161657SC
Other5670134SC · Aetna
Medicaid890580LNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Dr. Claude D Woollen 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 ID1254302805
PECOS Enrollment IDI20070430000043
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 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
139 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 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.
53 services51 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
12 services11 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Union Medical Center

Acute Care Hospitals · Union, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number420108
Location322 West South StreetUnion, SC 29379 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier13 claims130 services$5.60 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427
DME-Orthotic Devices · category DF010N
2 suppliers12 claims170 services$2.69 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 20

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

DAVID H WHITESIDE FNP
Nurse Practitioner
1330 BOILING SPRINGS RD, SUITE 2500
SPARTANBURG, SC 29303
Spartanburg County (864) 585-5433
CARDIOSOM, LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1330 BOILING SPRINGS RD, SUITE 2900
SPARTANBURG, SC 29303
Spartanburg County (864) 529-3460
SPARTANBURG REGIONAL MED CTR
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6345
SPARTANBURG MEDICAL CENTER
Neuromusculoskeletal Medicine & OMM
1330 BOILING SPRINGS RD, SUITE 1800
SPARTANBURG, SC 29303
Spartanburg County (864) 560-9646
GREER GROUP PRACTICE, LLC
Obstetrics & Gynecology (Reproductive Endocrinology)
1330 BOILING SPRINGS RD, SUITE 2200
SPARTANBURG, SC 29303
Spartanburg County (864) 583-2669
ERNEST N MISTR MD
Pediatrics
1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6345
QUEST DIAGNOSTICS CLINICAL LABORATORIES INC
Clinical Medical Laboratory
1330 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 208-1126
LANDRIE FOX MORRIS PA
Physician Assistant (Surgical)
1330 BOILING SPRINGS RD, SUITE 1600
SPARTANBURG, SC 29303
Spartanburg County (864) 582-6396

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 Claude Woollen's NPI number?

The NPI number for Claude Woollen is 1306811443. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Claude Woollen located?

Claude Woollen practices at 1330 Boiling Springs Rd North Grove Medical Park Suite 2300, Spartanburg, SC 29303. The listed phone number is (864) 585-6491.

What is Claude Woollen's specialty?

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

Is Claude Woollen enrolled in Medicare?

Yes. Claude Woollen 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 Claude Woollen accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Claude Woollen 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 Claude Woollen affiliated with any hospitals?

According to CMS data, Claude Woollen is affiliated with Spartanburg Medical Center, Pelham Medical Center and Union Medical Center.

When was this NPI record last updated?

The NPPES record for Claude Woollen was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.