MR. JERRY L WOOLUM (MD) – Surgery Physician, NPI 1467464446
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
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Provider Addresses for MR. JERRY L WOOLUM (MD)
2, Hospital Drive, Boone Heights, Barbourville, Knox County, Kentucky, 40906, United States
BARBOURVILLE, KY 409067363
Phone: (606) 545-4460
Fax: (606) 545-4469
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $919.
Total Amount is formed as General ($919) + Research ($0) + Ownership ($0) = $919.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($211).
Total Amount
$919
General + Research + Ownership
Payments
54
Total payment records
General Amount
$919
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101210000357 | I | General Surgery | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | KY | |
| P O D I A T R Y | FL | |
| Diagnostic Radiology | KY | |
| Emergency Medicine, Family Practice | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Internal Medicine | KY | |
| Physician Assistant | KY | |
| Internal Medicine | KY | |
| - | KY |
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