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DR. GREGORY M WOOLFOLK MD
NPI 1881678324
Internal Medicine - Gastroenterology in Lexington, KY

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1720 NICHOLASVILLE RD STE 302, LEXINGTON, KY 40503(859) 276-4382 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gregory M Woolfolk Md NPPES

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

DR. GREGORY M WOOLFOLK MD (NPI 1881678324) is an individual gastroenterology provider in Lexington, Kentucky, licensed in Kentucky (30826) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Richmond, and is a graduate of University Of Louisville School Of Medicine (1991).

NPPES Registry Identity

NPI1881678324
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. GREGORY M WOOLFOLKCredential: MD
Location Address1720 NICHOLASVILLE RD STE 302Lexington, KY 40503-1457
Mailing Address1169 Eastern Pkwy, G58Louisville, KY 40217 · (502) 452-9567 · Fax (502) 473-0586
Phone(859) 276-4382
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1991
Enumeration DateNovember 29, 2005
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1881678324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in KY · 30826
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1720 NICHOLASVILLE RD STE 302, Lexington, KY 40503
Open in Google Maps ↗

Other Identifiers 2

Other1136278KY · Passport
Medicaid64308265KY

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. Gregory M Woolfolk 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 ID1759276447
PECOS Enrollment IDI20040220000536
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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
80 services79 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.
67 services66 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.
46 services36 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services40 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
37 services37 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Richmond

Acute Care Hospitals · Richmond, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180049
Location801 Eastern BypassRichmond, KY 40475 · Madison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40503 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
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KYLE ANDREW BLOOMFIELD MSN, APRN, AGACNP-BC
Nurse Practitioner (Acute Care)
1720 NICHOLASVILLE RD STE 302
LEXINGTON, KY 40503
Fayette County (859) 276-4382
DR. VICTOR ALEX HOWARD M.D.
Internal Medicine (Gastroenterology)
1720 NICHOLASVILLE RD STE 302
LEXINGTON, KY 40503
Fayette County (859) 276-4382

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 Gregory Woolfolk's NPI number?

The NPI number for Gregory Woolfolk is 1881678324. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Gregory Woolfolk located?

Gregory Woolfolk practices at 1720 Nicholasville Rd Ste 302, Lexington, KY 40503. The listed phone number is (859) 276-4382.

What is Gregory Woolfolk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gregory Woolfolk enrolled in Medicare?

Yes. Gregory Woolfolk 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 Gregory Woolfolk accept?

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

According to CMS data, Gregory Woolfolk is affiliated with Baptist Health Richmond and Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Gregory Woolfolk was last updated on December 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.