MR. JERRY L WOOLUM MD
NPI 1467464446
Surgery in Barbourville, KY

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906(606) 545-4460(606) 545-4469 Get Directions Write a Review

NPPES record last updated: February 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry L Woolum Md NPPES

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

MR. JERRY L WOOLUM MD (NPI 1467464446) is an individual surgery provider in Barbourville, Kentucky, licensed in Kentucky (15458) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Knox County Hospital, and is a graduate of University Of Kentucky College Of Medicine (1969).

NPPES Registry Identity

NPI1467464446
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JERRY L WOOLUMCredential: MD
Location Address80 HOSPITAL DR STE 2Barbourville, KY 40906-7363
Mailing Address80 Hospital Dr Ste 2Barbourville, KY 40906-7363 · (606) 545-4460 · Fax (606) 545-4469
Fax(606) 545-4469
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1969
Enumeration DateAugust 11, 2006
Last NPPES UpdateFebruary 14, 2019
NPI 1467464446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KY · 15458
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 STE 2, Barbourville, KY 40906

Other Identifiers 1

Medicaid64154586KY

Accepted 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

Mr. Jerry L Woolum 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 ID9830288240
PECOS Enrollment IDI20101210000357
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.

Knox County Hospital

Critical Access Hospitals · Barbourville, KY
OwnershipGovernment - Local
CMS Certification Number181328
Location80 Hospital DriveBarbourville, KY 40906 · Knox 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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims51 services$5.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims22 services$0.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$21.29 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$7.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers36 claims36 services$109.33 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 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 7

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

Nurse Practitioner (Family)
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906
Internal Medicine (Gastroenterology)
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906
Nurse Practitioner
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906
Surgery
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906
Nurse Practitioner (Family)
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906
Clinic/Center (Rural Health)
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906
Family Medicine
80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906

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 Jerry Woolum's NPI number?

The NPI number for Jerry Woolum is 1467464446. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jerry Woolum located?

Jerry Woolum practices at 80 Hospital Dr Ste 2, Barbourville, KY 40906. The listed phone number is (606) 545-4460.

What is Jerry Woolum's specialty?

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

Is Jerry Woolum enrolled in Medicare?

Yes. Jerry Woolum 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 Jerry Woolum accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Jerry Woolum 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 Jerry Woolum affiliated with any hospitals?

According to CMS data, Jerry Woolum is affiliated with Knox County Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Woolum was last updated on February 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.