THERESA R WOLFE M.D.
NPI 1316152069
Physical Medicine & Rehabilitation - Spinal Cord Injury Medicine in Lexington, KY

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
80.89/100
CMS Quality Rating
1207 S BROADWAY, LEXINGTON, KY 40504(859) 258-4312 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2025, Mar 28, 2025, Sep 8, 2023 and 1 more (4 updates tracked since 2018).

About Theresa R Wolfe M.d. NPPES

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

THERESA R WOLFE M.D. (NPI 1316152069) is an individual spinal cord injury medicine provider in Lexington, Kentucky, licensed in Kentucky (44623) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2006).

NPPES Registry Identity

NPI1316152069
Entity TypeIndividualFemale
Primary Taxonomy2081P0004X
Provider Legal NameTHERESA R WOLFECredential: M.D.
Location Address1207 S BROADWAYLexington, KY 40504-2701
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 258-6203
Sole ProprietorYes
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateApril 9, 20254 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
NPI 1316152069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0004X
License Licensed in KY · 44623
Definition

A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.

1207 S BROADWAY, Lexington, KY 40504

Other Names 1

Former Name (1)Theresa R Kent M.d.

Secondary Practice Location 1

Location 11101 Veterans DrLexington, KY 40502-2235 · Phone (859) 233-4511 ext. 2589

Other Identifiers 1

Medicaid7100175110KY

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

Theresa R Wolfe M.d. 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 ID3870763527
PECOS Enrollment IDI20110907001103
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
80 services13 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
79 services61 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
61 services44 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.
59 services58 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.
52 services32 patients
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.
44 services32 patients

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.

80.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.29
Promoting Interoperability100
Improvement Activities40
Cost74

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.

Physician Assistant
1207 S BROADWAY
LEXINGTON, KY 40504
Occupational Therapist (Hand)
1207 S BROADWAY
LEXINGTON, KY 40504
Orthopaedic Surgery
1207 S BROADWAY
LEXINGTON, KY 40504
Physical Therapist
1207 S BROADWAY
LEXINGTON, KY 40504
Physical Medicine & Rehabilitation (Pain Medicine)
1207 S BROADWAY
LEXINGTON, KY 40504
Nurse Practitioner (Family)
1207 S BROADWAY
LEXINGTON, KY 40504
Neurological Surgery
1207 S BROADWAY
LEXINGTON, KY 40504
Physical Therapist
1207 S BROADWAY
LEXINGTON, KY 40504

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 Theresa Wolfe's NPI number?

The NPI number for Theresa Wolfe is 1316152069. It was assigned to this individual provider in the NPPES registry on May 14, 2007. The provider is also known as Theresa R Kent M.D..

Where is Theresa Wolfe located?

Theresa Wolfe practices at 1207 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4312.

What is Theresa Wolfe's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Spinal Cord Injury Medicine, with taxonomy code 2081P0004X.

Is Theresa Wolfe enrolled in Medicare?

Yes. Theresa Wolfe 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.

When was this NPI record last updated?

The NPPES record for Theresa Wolfe was last updated on April 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.