Active NPI 1033121017 Individual Practitioner Female Practitioner

Dr. Martha C Combs-Woolum , MD

Internal Medicine • Pineville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Martha Combs-Woolum, MD is a certified Internal Medicine practicing in Pineville, KY. With approximately 40 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1986, Dr. Combs-Woolum delivers high-quality medical care to the local community at 251 S PINE ST.

Dr. Combs-Woolum maintains professional affiliations with Mountain Comprehensive Health Corporation, Champion Physical Therapy Kentucky, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected, detection test by immunoassay with direct visual observation for streptococcus, group a (strep). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

251 S Pine St

Pineville, KY 409771646

Telephone 6063373500

Fax 6063375233

Associated Practice Facility / Clinic

🏢 Broadway Clinic Pharmacy Inc Facility NPI 1255660379

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pineville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs -0.5 yrs vs City Avg

City Avg: 40.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Pineville, KY (1608 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Combs-Woolum (40 Years) 40 Yrs

Pineville Specialty Average (40.5 Years) 40.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	129	89	$20.00	$3.41
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	95	79	$200.00	$139.78
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	93	74	$55.00	$16.20
71046 X-ray of chest, 2 views	50	41	$60.00	$20.25
71045 X-ray of chest, 1 view	37	28	$50.00	$15.03
72110 X-ray of lower and sacral spine, minimum of 4 views	22	21	$125.00	$34.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	92	67	$200.00	$139.78
81002 Urinalysis, manual test	90	63	$20.00	$3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	69	51	$55.00	$16.20
71046 X-ray of chest, 2 views	57	44	$60.00	$20.93
71045 X-ray of chest, 1 view	25	24	$50.00	$15.41
80053 Blood test, comprehensive group of blood chemicals	13	13	$60.00	$10.35
73562 X-ray of knee, 3 views	13	12	$75.38	$30.31
73501 X-ray of hip with pelvis, 1 view	11	11	$55.00	$21.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	139	110	$24.05	$5.40
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected	102	76	$200.00	$140.18
71046 X-ray of chest, 2 views	86	67	$60.00	$20.76
80053 Blood test, comprehensive group of blood chemicals	74	71	$60.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	71	69	$50.00	$16.46
81003 Automated urinalysis test	70	55	$20.00	$2.23
80061 Blood test, lipids (cholesterol and triglycerides)	40	39	$75.00	$13.13
83036 Hemoglobin A1C level	40	38	$55.00	$9.52
80048 Blood test, basic group of blood chemicals (calcium, total)	22	20	$40.00	$8.29
82043 Urine microalbumin (protein) level	21	21	$40.00	$5.66
71045 X-ray of chest, 1 view	19	17	$50.00	$15.36
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$55.00	$16.29
81002 Urinalysis, manual test	18	15	$20.00	$3.41
72110 X-ray of lower and sacral spine, minimum of 4 views	18	18	$125.00	$34.90
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	15	$50.00	$34.76
82962 Blood glucose (sugar) test performed by hand-held instrument	12	12	$25.00	$3.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	184	141	$25.00	$5.79
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	120	81	$13.11	$8.13
81003 Automated urinalysis test	87	66	$20.00	$2.25
71046 X-ray of chest, 2 views	36	31	$60.00	$20.52
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	22	$55.00	$16.53
82962 Blood glucose (sugar) test performed by hand-held instrument	18	17	$25.00	$3.28
84443 Blood test, thyroid stimulating hormone (TSH)	13	12	$50.00	$16.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	149	103	$13.09	$8.28
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	125	99	$25.00	$7.54
81003 Automated urinalysis test	60	48	$20.00	$2.24
99217 Hospital observation care on day of discharge	39	36	$150.00	$69.94
99219 Hospital observation care, typically 50 minutes	37	34	$230.00	$131.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	16	$150.00	$70.27
99238 Hospital discharge day management, 30 minutes or less	27	23	$175.00	$70.25
82962 Blood glucose (sugar) test performed by hand-held instrument	22	20	$25.00	$3.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$275.00	$133.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	15	$55.00	$16.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	102	85	$25.00	$7.47
81003 Automated urinalysis test	22	19	$20.00	$2.44
36415 Insertion of needle into vein for collection of blood sample	14	13	$10.00	$2.94
99219 Hospital observation care, typically 50 minutes	14	13	$230.00	$130.28
99217 Hospital observation care on day of discharge	14	13	$146.43	$69.60
99238 Hospital discharge day management, 30 minutes or less	12	12	$160.00	$69.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	300	221	$13.00	$7.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	60	$100.00	$67.83
99238 Hospital discharge day management, 30 minutes or less	60	55	$130.00	$67.70
99220 Hospital observation care, typically 70 minutes	56	46	$210.00	$173.71
99217 Hospital observation care on day of discharge	49	39	$100.00	$67.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	45	$210.00	$188.91
99224 Subsequent observation care, typically 15 minutes per day	30	24	$90.00	$37.18
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	12	$100.00	$41.26
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	12	$50.00	$37.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	670	401	$13.00	$7.66
99213 Established patient office or other outpatient visit, typically 15 minutes	549	260	$100.00	$64.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	135	$100.00	$64.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	100	$210.00	$180.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	121	98	$125.00	$93.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	51	$25.00	$21.95
99220 Hospital observation care, typically 70 minutes	77	70	$210.00	$166.09
99217 Hospital observation care on day of discharge	75	70	$100.00	$64.91
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	63	13	$100.00	$39.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	56	37	$50.00	$36.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	56	34	$18.00	$3.26
99224 Subsequent observation care, typically 15 minutes per day	36	30	$90.00	$35.82
99238 Hospital discharge day management, 30 minutes or less	29	27	$130.00	$64.64
99291 Critical care, first 30-74 minutes	27	11	$200.00	$190.53
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	19	19	$50.00	$23.94
J1030 Injection, methylprednisolone acetate, 40 mg	16	16	$15.00	$5.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$75.00	$47.42
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	14	$13.00	$7.73
94010 Test to measure expiratory airflow and volume	11	11	$81.00	$7.65

Medical Specialties & State Licenses

CMS Verified: 2020-10-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 26212

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64262124 (KY)

Hospital & Practice Group Affiliations

Champion Physical Therapy Kentucky, Llc

103 S Pine St, Pineville, KY 409771610

Phone: 6062542075

Mountain Comprehensive Health Corporation

1530 Us Hwy 25 E, Middlesboro, KY 409651861

Phone: 6066549450

Secondary Practice Locations

121 Virginia Ave, Ste F-200

Pineville, KY 40977

Phone: 6063370860

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Brittany Slone , ARNP

Nurse Practitioner - Family

NPI 1366904302

Advanced Registered Nurse Practitioner

Brooke Norris , APRN

Nurse Practitioner - Family

NPI 1780184663

Advanced Practice Registered Nurse

Molly Ledford , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1881465490

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location October 02, 2020

Registered at 251 S PINE ST, PINEVILLE, KY 409771646 (Tel: 6063373500)

📍

Updated Business Mailing Address October 02, 2020

Registered at PO BOX 40, WHITESBURG, KY 418580040 (Tel: 6066334823)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 121 VIRGINIA AVE, STE F-200, PINEVILLE, KY 40977 (Tel: 6063370860)

📍

Updated Business Mailing Address July 08, 2007

Registered at 121 VIRGINIA AVE, STE F-200, PINEVILLE, KY 40977 (Tel: 6063370860)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARTHA COMBS-WOOLUM, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #26212 in KY)

🟢

Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033121017

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2006

Last Update: October 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 40

Whitesburg, KY 418580040

Phone: 6066334823

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.