Doctor profile · Federal record
Dr. Theresa Case, D.O.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Critical Care Medicine (Internal Medicine) Physician · Student in an Organized Health Care Education/Training Program · Lexington, KY
- NPI 1447543293
- Accepts Medicare
- MIPS 94.8 / 100 · 2023
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
University of Kentucky Kentucky Clinic L543, 740 S. Limestone
Lexington, KY 405362813
(859) 323-9555
fax (859) 257-2418
Credentials & registration
- NPI registered
- May 2011 — 15 yrs on file
- Profile last updated
- December 7, 2020
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Kentucky #03741
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1447543293. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
847
Distinct HCPCS
10
Medicare allowed
$75,886
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 220 | 112 | $76 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 125 | 86 | $120 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 77 | 40 | $115 | |
94726 |
Test to determine lung volumes using sensors | 64 | 62 | $49 | |
94729 |
Test to examine how well the lungs exchange gases | 64 | 62 | $51 | |
99291 |
Critical care, first 30-74 minutes | 60 | 43 | $201 | |
94010 |
Test to measure expiratory airflow and volume | 51 | 51 | $8 | |
94375 |
Test to measure rate of airflow | 40 | 40 | $35 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 35 | 35 | $208 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 23 | 23 | $167 |
In context: peer comparison
Among 14 peers in Lexington Pulmonary Disease Physician, average services per provider: 57. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$1,227
Transactions
54
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, INC. | 11 | $179.08 | |
| Genzyme Corporation | 7 | $151.31 | |
| AstraZeneca Pharmaceuticals Lp | 5 | $145.96 | |
| Amgen INC. | 5 | $115.86 | |
| Sanofi-Aventis U.S. LLC | 1 | $99.95 | |
| Gilead Sciences, INC. | 5 | $98.44 | |
| Mylan Specialty L.P. | 4 | $90.08 | |
| Insmed, INC. | 4 | $84.74 | |
| GlaxoSmithKline, LLC. | 5 | $78.60 | |
| Axsome Therapeutics, INC. | 2 | $57.10 | |
| Actelion Pharmaceuticals US, INC. | 1 | $28.49 | |
| Boehringer Ingelheim Pharmaceuticals, INC. | 1 | $25.54 | |
| Vifor Pharma, INC. | 1 | $24.01 | |
| Takeda Pharmaceuticals U.S.A., INC. | 1 | $17.40 | |
| United Therapeutics Corporation | 1 | $15.53 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
520
Patients
125
Total drug cost
$601,215
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 75 | 27 | $75,568 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 70 | 29 | $2,397 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 51 | 15 | $51,746 |
| Prednisone | Generic | 49 | 25 | $278 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 43 | 0 | $20,852 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 28 | 0 | $21,163 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 27 | 17 | $254 |
| Nucala (Mepolizumab) | Brand | 27 | 0 | $106,621 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 26 | 0 | $11,350 |
| Spiriva Respimat (Tiotropium Bromide) | Brand | 26 | 0 | $20,098 |
Hospital affiliations
Frequently asked questions
What is Dr. Theresa Case's medical specialty?
Dr. Theresa Case practices Pulmonary Disease Physician in Lexington, KY.
Where does Dr. Theresa Case practice?
Dr. Theresa Case practices at University of Kentucky Kentucky Clinic L543, Lexington, KY 405362813. Office phone: 8593239555.
What is Dr. Theresa Case's NPI?
Dr. Theresa Case's National Provider Identifier (NPI) is 1447543293, issued by NPPES.
Does Dr. Theresa Case accept Medicare assignment?
Yes. Dr. Theresa Case accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theresa Case commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.