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DR. THOMAS L WOLFORD MD
NPI 1669439071
Internal Medicine - Cardiovascular Disease in Owensboro, KY

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
1301 PLEASANT VALLEY RD STE 202, OWENSBORO, KY 42303(270) 417-7500(270) 417-7509 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Mar 14, 2023, Sep 30, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Thomas L Wolford Md NPPES

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

DR. THOMAS L WOLFORD MD (NPI 1669439071) is an individual cardiovascular disease provider in Owensboro, Kentucky, licensed in Wyoming (12316A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Perry County Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669439071
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. THOMAS L WOLFORDCredential: MD
Location Address1301 PLEASANT VALLEY RD STE 202Owensboro, KY 42303-9774
Mailing Address707 Sheridan AveCody, WY 82414-3409 · (307) 527-7501
Phone(270) 417-7500
Fax(270) 417-7509
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1985
Enumeration DateApril 28, 2006
Last NPPES UpdateAugust 7, 20265 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1669439071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in WY · 12316A✔ Licensed in KY · 166435✔ Licensed in MT · MED-PHYS-LIC-77127
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License ME83191 (FL)
1301 PLEASANT VALLEY RD STE 202, Owensboro, KY 42303
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11300 28th St S Fl 2Great Falls, MT 59405-5296 · Phone (406) 455-4320 · Fax (406) 731-8318
Location 2424 Yellowstone Ave Ste 140Cody, WY 82414 · Phone (307) 578-2980

Other Identifiers 1

Medicaid264694300FL

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 and accepts Medicare assignment

Dr. Thomas L Wolford 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 ID8426063322
PECOS Enrollment IDI20190729003019, I20221128000453
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

8

Medicare enrollment records show Thomas Wolford reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Owensboro Health Medical Group, Inc.
Same address
Public Health & General Preventive Medicine
1301 PLEASANT VALLEY RD STE 404A
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1023886728 (270) 417-7641
St Vincents Ambulatory Care Inc
599 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Cardiology Interpreters Inc
607 mi
Technician, Cardiology
11651 CENTRAL PKWY STE 106
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 139 clinicians in this Medicare group
NPI 1477887149 (904) 396-2342
Lee Memorial Health System
826 mi
Federally Qualified Health Center (FQHC)
3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1447099973 (239) 343-6050
Lee Health System Inc
833 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Billings Clinic
1,129 mi
Family Medicine
620 S HAYNES AVE
Miles City, MT 59301
  • Reassigned Medicare billing, Montana enrollment
  • 1,264 clinicians in this Medicare group
NPI 1427194836 (406) 233-7000
West Park Hospital District
1,187 mi
Emergency Medicine
PO BOX 143
Basin, WY 82410
  • Reassigned Medicare billing, Wyoming enrollment
  • 181 clinicians in this Medicare group
NPI 1942921937 (307) 568-3700
Benefis Hospitals, Inc.
1,395 mi
General Acute Care Hospital
1101 26TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1881650737 (406) 455-5000

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 10

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
413 services335 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
125 services124 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Perry County Memorial Hospital

Critical Access Hospitals · Tell City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number151322
Location8885 Sr 237Tell City, IN 47586 · Perry County
Emergency services

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 15

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

WILLIAM HOWARD APRN
Nurse Practitioner (Family)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
ALI KAID SALAH MD
Internal Medicine (Cardiovascular Disease)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
DR. MICHAEL BRYANT KELLEY M.D.
Internal Medicine (Cardiovascular Disease)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
JESSICA SHERIDAN-BABARE DO
Internal Medicine (Cardiovascular Disease)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
EMILY C FLOYD APRN
Nurse Practitioner (Family)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
LILLIE LYNN FISCHER PA-C
Physician Assistant
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
ASHISH RASTOGI M.D.
Internal Medicine (Interventional Cardiology)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500
MORGAN ALEXIS BUNCH APRN
Nurse Practitioner (Family)
1301 PLEASANT VALLEY RD STE 202
OWENSBORO, KY 42303
Daviess County (270) 417-7500

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 Wolford's NPI number?

The NPI number for Thomas Wolford is 1669439071. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Thomas Wolford located?

Thomas Wolford practices at 1301 Pleasant Valley Rd Ste 202, Owensboro, KY 42303. The listed phone number is (270) 417-7500.

What is Thomas Wolford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Thomas Wolford enrolled in Medicare?

Yes. Thomas Wolford 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 organizations bill Medicare for Thomas Wolford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Wolford reassigns Medicare benefits to 8 organizations: Owensboro Health Medical Group, Inc. (Owensboro, KY), St Vincents Ambulatory Care Inc (Jacksonville, FL), Cardiology Interpreters Inc (Jacksonville, FL), Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL) and 3 more organizations, listed in the Medicare section above. Each 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 Wolford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Wolford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 4 other insurers list Thomas Wolford 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 Wolford affiliated with any hospitals?

According to CMS data, Thomas Wolford is affiliated with Perry County Memorial Hospital, Owensboro Health Muhlenberg Community Hospital, Owensboro Health Regional Hospital and Billings Clinic.

When was this NPI record last updated?

The NPPES record for Thomas Wolford was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.