RICKY DAVID WOLFE MD
NPI 1790762417
Pathology - Anatomic Pathology in Gaffney, SC

NPI Status: Active since December 22, 2005

Contact Information

1530 N LIMESTONE ST
GAFFNEY, SC
ZIP 29340
Phone: (864) 487-1603
Fax: (864) 487-1626

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology
  • Accepts Insurance
  • PECOS Enrolled

About RICKY WOLFE

This page provides the complete NPI Profile along with additional information for Ricky Wolfe, a provider established in Gaffney, South Carolina with a medical specialization in Pathology, focusing in anatomic pathology . The healthcare provider is registered in the NPI registry with number 1790762417 assigned on December 2005. The practitioner's primary taxonomy code is 207ZP0101X with license number 14003 (SC). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1790762417
Provider Name
RICKY DAVID WOLFE MD
Gender
Male
Entity Type
Individual
Location Address
1530 N LIMESTONE ST GAFFNEY, SC 29340
Location Phone
(864) 487-1603
Location Fax
(864) 487-1626
Mailing Address
1530 N LIMESTONE ST GAFFNEY, SC 29340
Mailing Phone
(864) 487-1603
Mailing Fax
(864) 487-1626
Is Sole Proprietor?
Yes
Enumeration Date
12-22-2005
Last Update Date
10-24-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology

Taxonomy Code
207ZP0101X
Type
Allopathic & Osteopathic Physicians
License No.
14003
License State
SC
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZP0101XAllopathic & Osteopathic Physicians

Pathology
Anatomic Pathology

(NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5901767MEDICAID (05)NC 
G27174MEDICARE UPIN (02) 
22BD6NRMEDICARE PIN (08)GA 
00708606AMEDICAID (05)GA 
Q41705MEDICAID (05)SC 
2045524MEDICARE PIN (08)NC 

Medicare Participation & PECOS Enrollment Status

Ricky Wolfe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 224 times for 200 patients

Microscopic genetic analysis of tumor, manual

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

This service was performed 90 times for 90 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 350 times for 249 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 20 times for 16 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

This service was performed 115 times for 114 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29340 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.04
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $31.01
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $95.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $23.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790762417
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180146442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 4 + 4 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1790762417 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134186463MRS. VERONICA ORICK MD
Individual
Family Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 357-7978
1578660296 OLIVE L BLAIR-LINEHAN CRNA
Individual
Nurse Anesthetist, Certified Registered1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 489-3286
1285896365SOUTH CAROLINA EM-I MEDICAL SERVICES
Organization
Physician Assistant1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-1544
1689836751SC CHEROKEE EMERGENCY PHYSICIANS
Organization
Emergency Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-1544
1992968929UPSTATE HOSPITALIST SERVICES LLC
Organization
Internal Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-1500
1386892685NOVANT MEDICAL GROUP, INC.
Organization
Anesthesiology1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 489-3286
1285908723GAFFNEY EMERGENCY GROUP PC
Organization
Emergency Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1508125204GAFFNEY PHYSICIAN SERVICES PC
Organization
Emergency Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1285978684 MARY G EAKER PHARM.D.
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 206-6298
1598196412COMPREHENSIVE HOSPITALIST SERVICES OF SOUTH CAROLINA
Organization
Hospitalist1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1851356877 BETH VIRGINIA EDWARDS PA-C
Individual
Physician Assistant1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 216-4640
1811312747UPSTATE SC EMERGENCY PHYSICIANS
Organization
Emergency Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1356725501MRS. TONIA ROBERSON RPH.
Individual
Pharmacist1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-1529
1508800186GAFFNEY HMA LLC
Organization
General Acute Care Hospital1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1437651767MRS. JESSICA WEATHERS STAMEY FNP-C
Individual
Nurse Practitioner (Family)1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1205307378CHEROKEE MEDICAL CENTER
Organization
General Acute Care Hospital1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1053350835GAFFNEY HMA INC
Organization
Anesthesiology1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271
1902976426UPSTATE EMERGENCY SERVICE
Organization
Emergency Medicine1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-1544
1184759268UPSTATE EMERGENCY SERVICES
Organization
Physician Assistant1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-1544
1114406600MS. VALERIE D DENDY FNP
Individual
Nurse Practitioner (Family)1530 N LIMESTONE ST
GAFFNEY, SC 29340
(864) 487-4271

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790762417, enumerated in the NPI registry as an "individual" on December 22, 2005

The provider is located at 1530 N Limestone St Gaffney, Sc 29340 and the phone number is (864) 487-1603

The provider's speciality is Pathology with taxonomy code 207ZP0101X with a focus in Anatomic Pathology

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $124.04 with an average copayment of $31.01 for new patient appointments. Established patients should expect a typical charge of $95.12 and an average copayment of 23.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Cell examination of specimen, selective cellular enhancement technique, Microscopic genetic analysis of tumor, manual, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately high complexity and Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method.

This NPI record was last updated on December 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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