DR. WAYNE OLIVER WOLVERTON (DO) – Internal Medicine Physician, NPI 1790941334

DR. WAYNE OLIVER WOLVERTON (DO) is a healthcare provider. based in Bardstown, Kentucky. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 04033 (KY). The NPI Number for DR. WAYNE OLIVER WOLVERTON (DO) is 1790941334

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. WAYNE OLIVER WOLVERTON (DO)
NPI
1790941334
Phone
(502) 350-5000
Address
4305 NEW SHEPHERDSVILLE RD
Enumeration Date
4 August 2008
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5023505000
Graduation Year
2008 (18 years ago)
PAC ID
5991926529
Group Practice PAC ID
0648294157
Professional Enrollment ID
I20180306000404
Address ID
KY400049019BA4305XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for DR. WAYNE OLIVER WOLVERTON (DO)

  • Flaget Memorial Hospital, 4305, New Shepherdsville Road, Bardstown, Nelson County, Kentucky, 40004, United States

    BARDSTOWN, KY 400049019

    Phone: (502) 350-5000

    Type: Location

  • 4305 New Shepherdsville Rd

    Bardstown, KY 400049019

    Phone: (502) 350-5000

    Type: Location

  • Maryland Way, Williamsburg Estates, Brentwood, Williamson County, Tennessee, 37027, United States

    BRENTWOOD, TN 370275339

    Phone: (615) 377-5602

    Fax: (615) 271-1692

    Type: Mailing

  • 200 BRULE ST

    FORT KNOX, KY 401216100

    Phone: (502) 626-9789

    Fax: (502) 624-0482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-03-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180306000404IInternal MedicineKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6137$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5323$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3535$0
99239Hospital discharge day management, more than 30 minutes3131$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 40004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648294157View full group profile
NameSpecialtyState
Physician AssistantKY
Hospitalist, Internal MedicineNY
Nurse PractitionerKY
Internal MedicineWV
Nurse PractitionerGA
Hospitalist, Internal MedicineMI
Physician AssistantTN
Physician AssistantKY
Physician AssistantKY
Physician AssistantKY

Reviews

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Frequently asked questions

Is there an official ID for DR. WAYNE OLIVER WOLVERTON (DO) in U.S. healthcare records?
The official identifier for DR. WAYNE OLIVER WOLVERTON (DO) is NPI 1790941334.
Would DR. WAYNE OLIVER WOLVERTON (DO) appear as active to a payer?
You can treat DR. WAYNE OLIVER WOLVERTON (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. WAYNE OLIVER WOLVERTON (DO)?
DR. WAYNE OLIVER WOLVERTON (DO) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Kentucky is DR. WAYNE OLIVER WOLVERTON (DO) registered?
Use Bardstown, Kentucky as the headline location for DR. WAYNE OLIVER WOLVERTON (DO) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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