DR. CECIL TODD HOLBERT M.D.
NPI 1003803891
Family Medicine in Philippi, WV

Q: What is Cecil Holbert's NPI number?

The NPI number for Cecil Holbert is 1003803891. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Q: What is Cecil Holbert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Cecil Holbert was last updated on January 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment

116 MCCLELLAN RD, PHILIPPI, WV 26416(304) 457-2800(304) 457-4011 Get Directions Write a Review

NPPES record last updated: January 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Cecil Todd Holbert M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CECIL TODD HOLBERT M.D. (NPI 1003803891) is an individual family medicine provider in Philippi, West Virginia, licensed in West Virginia (WV20262) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (1999).

NPPES Registry Identity

NPI1003803891

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CECIL TODD HOLBERTCredential: M.D.

Location Address116 MCCLELLAN RDPhilippi, WV 26416-8076

Mailing Address116 Mcclellan RdPhilippi, WV 26416-8076 · (304) 457-2800 · Fax (304) 457-4011

Phone(304) 457-2800

Fax(304) 457-4011

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1999

Enumeration DateOctober 5, 2005

Last NPPES UpdateJanuary 21, 2023

NPPES CertifiedJanuary 21, 2023

✔ NPI 1003803891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WV · WV20262

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

116 MCCLELLAN RD, Philippi, WV 26416

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Other Identifiers 2

Medicaid1003803891WV

OtherP00276759WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cecil Todd Holbert M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749226421

PECOS Enrollment IDI20050705000091

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

128 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

21 services19 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

19 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

17 services11 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510030

Location812 Gorman AvenueElkins, WV 26241 · Randolph County

Emergency services Birthing friendly

Broaddus Hospital Association, Inc

Critical Access Hospitals · Philippi, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511300

Location1 Healthcare Drive Mansfield HillPhilippi, WV 26416 · Barbour County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers54 claims228 services$5.45 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers30 claims59 services$0.98 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier13 claims1,560 services$1.52 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers18 claims18 services$17.71 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers22 claims22 services$7.72 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers57 claims58 services$110.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLIN CHRISTINE JONES

Physician Assistant