Thomas Whealton, DO
NPI 1811254105 · Pain Medicine (Anesthesiology) Physician · Corbin, KY
Enrolled with Medicare as Practitioner - Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Whealton, DO is a Pain Medicine (Anesthesiology) Physician provider in Corbin, KY (NPI 1811254105).
Provider details
- NPI number
- 1811254105
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- TP992 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
9,513 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Professional Service for Preparation and Provision of 1 Or More Antigens95165 | 3,220 | $13 |
| Test for Allergy Using Allergenic Extract95004 | 2,160 | $3 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 933 | $85 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 855 | $120 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 643 | $61 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 3,285 | 442 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 2,494 | 320 |
| Gabapentin | 1,929 | 353 |
| Pregabalin | 461 | 110 |
| Oxycodone Hcl | 228 | 37 |
| Tramadol Hcl | 131 | 39 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$934 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1018 Ival James BlvdRichmond, KY 40475-8280Phone: (859) 544-1068
- 920 Barnes Mill Rd Ste aRichmond, KY 40475-3539Phone: (859) 544-1068
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2024-09-06
- Certified
- 2024-09-06
Frequently asked questions
- What is Thomas Whealton's NPI number?
- Thomas Whealton's National Provider Identifier (NPI) is 1811254105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Whealton's specialty?
- Thomas Whealton is listed in the NPPES registry with a primary specialty of Pain Medicine (Anesthesiology) Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Whealton located?
- Thomas Whealton's practice location on file with NPPES is 1498 W Cumberland Gap Pkwy, Corbin, KY 40701-5902.
- What is Thomas Whealton's phone number?
- The practice phone number listed in the NPPES registry for Thomas Whealton is (606) 280-7875.
- Does Thomas Whealton accept Medicare?
- Thomas Whealton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Whealton's NPI active?
- Yes — Thomas Whealton's NPI (1811254105) is active in the NPPES registry as of the last update on 2024-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.