THOMAS F WHEALTON (DO) – Pain Medicine (Anesthesiology) Physician, NPI 1811254105

THOMAS F WHEALTON (DO) is a healthcare provider. based in Lexington, Kentucky. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. TP992 (KY). The NPI Number for THOMAS F WHEALTON (DO) is 1811254105

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS F WHEALTON (DO)
NPI
1811254105
Phone
(859) 268-1030
Address
425 LEWIS HARGETT CIR
Enumeration Date
12 April 2012
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
8595441068
Graduation Year
2012 (14 years ago)
PAC ID
9234430158
Group Practice PAC ID
4082956198
Professional Enrollment ID
I20170719001463
Address ID
KY404753539RI920XXRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

138 PAIN MANAGEMENT in KY

Provider Addresses for THOMAS F WHEALTON (DO)

  • 425 LEWIS HARGETT CIR

    LEXINGTON, KY 405033590

    Phone: (859) 268-1030

    Fax: (859) 269-4120

    Type: Mailing

  • 1 TRILLIUM WAY STE 111

    CORBIN, KY 407018727

    Phone: (606) 523-8770

    Fax: (606) 523-8528

    Type: Location

  • 1498 W CUMBERLAND GAP PKWY

    CORBIN, KY 407015902

    Phone: (606) 280-7875

    Fax: (833) 974-2501

    Type: Mailing

  • 1018 Ival James Blvd

    Richmond, KY 404758280

    Phone: (859) 544-1068

    Type: Location

  • 920 Barnes Mill Rd Ste A

    Richmond, KY 404753539

    Phone: (859) 544-1068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $1,994.

Total Amount is formed as General ($1,994) + Research ($0) + Ownership ($0) = $1,994.

Last reported payment date: 2024-09-14 • Largest payer in this snapshot: Nevro Corp. ($1,232).

Total Amount

$1,994

General + Research + Ownership

Payments

28

Total payment records

General Amount

$1,994

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-19

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
I20170719001463IPain ManagementKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1,135318$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg84999$0
J1100Injection, dexamethasone sodium phosphate, 1 mg64051$0
80305Testing for presence of drug, read by direct observation564204$0
99214Established patient office or other outpatient visit, 30-39 minutes519217$0
View full utilization report →

Insurance plans in this area (ZIP 40503)

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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: 4082956198View full group profile
NameSpecialtyState
Physician AssistantKY

Reviews

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Frequently asked questions

Where can patients find THOMAS F WHEALTON (DO)'s NPI?
You can confirm THOMAS F WHEALTON (DO) with NPI 1811254105; it appears in the national provider directory.
Is THOMAS F WHEALTON (DO) active in the national directory?
THOMAS F WHEALTON (DO)'s public NPI profile is in an active state.
Does THOMAS F WHEALTON (DO) list a primary specialty?
If you are matching referrals, note Pain Medicine (Anesthesiology) Physician for THOMAS F WHEALTON (DO). Clinical services aligned with this taxonomy classification.
What location shows for THOMAS F WHEALTON (DO)?
We surface Lexington, Kentucky for THOMAS F WHEALTON (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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