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THOMAS D WOOLDRIDGE MD
NPI 1518937044
Internal Medicine - Nephrology in Tupelo, MS

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
1542 MEDICAL PARK CIR, TUPELO, MS 38801(662) 844-4711(662) 844-9619 Get Directions Write a Review

NPPES record last updated: August 13, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thomas D Wooldridge Md NPPES

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

THOMAS D WOOLDRIDGE MD (NPI 1518937044) is an individual nephrology provider in Tupelo, Mississippi, licensed in Mississippi (6480) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of University Of Mississippi School Of Medicine (1972).

NPPES Registry Identity

NPI1518937044
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameTHOMAS D WOOLDRIDGECredential: MD
Location Address1542 MEDICAL PARK CIRTupelo, MS 38801-6560
Mailing Address1542 Medical Park CirTupelo, MS 38801-6560 · (662) 844-4711 · Fax (662) 844-9619
Phone(662) 844-4711
Fax(662) 844-9619
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1972
Enumeration DateJanuary 26, 2006
Last NPPES UpdateAugust 13, 2010
✔ NPI 1518937044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MS · 6480
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1542 MEDICAL PARK CIR, Tupelo, MS 38801
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Other Identifiers 10

Other390001766GA · Railroad Medicare Pin
Other73003901Blue Cross Pin
Medicare PIN390000022MS
Other640600391Tax Id Numbert
Medicaid008604410AL
Other6480MS · State Licensed Number
Other0010676MS · Blue Cross Blue Shield
Medicare UPINB30170
Medicare PINB30170
Medicaid00016236MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc., UnitedHealthcare.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

Thomas D Wooldridge 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 ID9931149838
PECOS Enrollment IDI20101112000365
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 Thomas Wooldridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology & Hypertension Associates, Ltd.
0.1 mi
Nephrology
1542 MEDICAL PARK CIR
Tupelo, MS 38801
  • Reassigned Medicare billing, Mississippi enrollment
  • 23 clinicians in this Medicare group
NPI 1902975139 (662) 844-4711

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 11

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
275 services176 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
266 services173 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
260 services187 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
221 services155 patients
Phosphate level 84100
A phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.
219 services155 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.
213 services159 patients

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
74%23 patients4/55-star benchmark: 95%
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.
95%3,163 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%413 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
58%259 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%260 patients5/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%411 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%673 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 96% · 209 patients
Patients tobacco: 95% · 209 patients
96%28 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%260 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
93%260 patients5/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 411 patients
1%411 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims2,400 services$0.33 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers17 claims2,520 services$0.57 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers32 claims4,860 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers32 claims32 services$18.39 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers22 claims25 services$12.63 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 19

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

DR. MARCUS LOUIS BRITTON M.D.
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
JEANNIE D PENCE CANP
Nurse Practitioner (Adult Health)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
HARMINDER K ATWAL ACNP-BC
Nurse Practitioner (Acute Care)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
NEPHROLOGY AND HYPERTENSION ASSOCIATES, LTD
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR, 1542 MEDICAL PARK CIRCLE
TUPELO, MS 38801
Lee County (662) 844-4711
JOHN MARTIN LEE JR. MD
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
RENAL CARE GROUP TUPELO, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 841-2315
CALVIN CHARLES PATRICK BAKER MD
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
MRS. BRANDY M MCCAIN CRNP
Nurse Practitioner (Family)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711

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 Thomas Wooldridge's NPI number?

The NPI number for Thomas Wooldridge is 1518937044. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Thomas Wooldridge located?

Thomas Wooldridge practices at 1542 Medical Park Cir, Tupelo, MS 38801. The listed phone number is (662) 844-4711.

What is Thomas Wooldridge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thomas Wooldridge enrolled in Medicare?

Yes. Thomas Wooldridge 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 Thomas Wooldridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wooldridge reassigns Medicare benefits to Nephrology & Hypertension Associates, Ltd. (Tupelo, MS). 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 Thomas Wooldridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Wooldridge accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Plan, Inc. and UnitedHealthcare list Thomas Wooldridge 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 Thomas Wooldridge affiliated with any hospitals?

According to CMS data, Thomas Wooldridge is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Wooldridge was last updated on August 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.