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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DAVID TERWILLIGER DO
NPI 1871801282
Surgery in Whitesburg, KY

Active since September 20, 2010PECOS Enrolled
97.4/100
CMS Quality Rating
214 HOSPITAL RD, WHITESBURG, KY 41858(606) 633-2256(606) 633-3814 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2026, Sep 5, 2018, May 9, 2017 (3 updates tracked since 2017).

About Dr. David Terwilliger Do NPPES

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

DR. DAVID TERWILLIGER DO (NPI 1871801282) is an individual surgery provider in Whitesburg, Kentucky, licensed in Kentucky (03903) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Whitesburg Arh Hospital, and maintains a secondary practice location in Whitesburg.

NPPES Registry Identity

NPI1871801282
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID TERWILLIGERCredential: DO
Location Address214 HOSPITAL RDWhitesburg, KY 41858-7627
Mailing Address214 Hospital RdWhitesburg, KY 41858-7627 · (606) 633-2256 · Fax (606) 633-3814
Phone(606) 633-2256
Fax(606) 633-3814
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1871801282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in KY · 03903✔ Licensed in FL · OS12044
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.
214 HOSPITAL RD, Whitesburg, KY 41858
Open in Google Maps ↗

Secondary Practice Location 1

Location 1214 Hospital Rd, Suite AWhitesburg, KY 41858-7627 · Phone (606) 633-2255 · Fax (606) 633-3542

Other Identifiers 1

Medicaid100288900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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. David Terwilliger Do 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 ID6709193162
PECOS Enrollment IDI20150916003514
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 7

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 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.
98 services80 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
51 services30 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.
33 services20 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.
31 services31 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.
30 services28 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Whitesburg Arh Hospital

Acute Care Hospitals · Whitesburg, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180002
Location240 Hospital RoadWhitesburg, KY 41858 · Letcher County
Emergency services Birthing friendly

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41858 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

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.

SHANE MCDOUGAL MD
Family Medicine
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-4414
KEVIN MATTHEW GOOCH MD
Internal Medicine
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3631
WHITESBURG WOMEN'S CENTER, LLC
Obstetrics & Gynecology
214 HOSPITAL RD, SUITE D
WHITESBURG, KY 41858
Letcher County (606) 633-5553
JOHN L. PELLEGRINI M.D.
Surgery
214 HOSPITAL RD, SUITE 1
WHITESBURG, KY 41858
Letcher County (606) 633-2255
APPALACHIAN REGIONAL HEALTHCARE, INC.
Clinic/Center (Multi-Specialty)
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3631
AMYE E THOMAS
Nurse Practitioner (Family)
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-4414
APPALACHIAN REGIONAL HEALTHCARE, INC.
Clinic/Center (Rural Health)
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-3631
SAMANTHA OCTAVIA EVERSOLE DO
Internal Medicine
214 HOSPITAL RD
WHITESBURG, KY 41858
Letcher County (606) 633-4414

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 David Terwilliger's NPI number?

The NPI number for David Terwilliger is 1871801282. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is David Terwilliger located?

David Terwilliger practices at 214 Hospital Rd, Whitesburg, KY 41858. The listed phone number is (606) 633-2256.

What is David Terwilliger's specialty?

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

Is David Terwilliger enrolled in Medicare?

Yes. David Terwilliger 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 David Terwilliger accept?

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

According to CMS data, David Terwilliger is affiliated with Whitesburg Arh Hospital, Hazard Arh Regional Medical Center and Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for David Terwilliger was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.