Dr. Thomas Whealton, DO
1498 W Cumberland Gap Pkwy, Corbin, KY 40701 • +1-844-555-5280
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Corbin Percentiles
NPI #1811254105 • CBSA Regional • Pain Management
CMS Medicare Part B utilization records credit Dr. Thomas Whealton (DO, NPI 1811254105) at 1498 W Cumberland Gap Pkwy in Corbin with 10,575 annual clinical services (460 beneficiaries), corresponding to a +0.47σ regional deviation and mid-cohort balanced caseload (50th Corbin percentile) with sub-specialty concentration in 58 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Whealton (averaging 23.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 41% of tracked volume (4378 encounters), paired with 99213 (2529x).
Direct cash-pay transparency modeling sets Dr. Whealton's baseline new-consult rate near $209.00 in Corbin, KY (cash-pay accepted, in-person clinic visits only, 9-minute average reception wait).
NPI registry verification (#1811254105) confirms Dr. Thomas Whealton's DO standing serving CBSA 40701 with a 4.84/5 patient scorecard.
Compared against Corbin, KY Pain Management peers
10,575 annual services across 460 beneficiaries
Standard deviations from KY Pain Management mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 4,378 | 50th | $82 – $113 |
| 99213 | Established Preventive & Chronic Care Visit | 2,529 | 46th | $63 – $86 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 1,265 | 52th | $30 – $45 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 973 | 46th | $97 – $132 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 584 | 49th | $115 – $157 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (58 HCPCS billing breadth) | 847 | 50th | $74 – $107 |
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Dr. Thomas Whealton, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Whealton National Provider Identifier | NPI #1811254105 (DO) | CMS NPPES Registry (40701) |
| Dr. Whealton Corbin CMS Volume Rank | 50.00th Pct (10,575 CMS svcs; Z +0.475σ) | CMS Medicare Part B (KY Pain Management) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Corbin, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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