1. Home
  2. Directory
  3. West Virginia
  4. Morgantown
  5. Emergency Medicine
  6. NPI Profile

KEVIN J BLANKENSHIP MD
NPI 1003815515
Emergency Medicine in Morgantown, WV

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
63 WHARF ST, SUITE 100, MORGANTOWN, WV 26501(304) 291-3627(304) 598-3630 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Dec 2, 2025 (2 updates tracked since 2025).

About Kevin J Blankenship Md NPPES

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

KEVIN J BLANKENSHIP MD (NPI 1003815515) is an individual emergency medicine provider in Morgantown, West Virginia, licensed in West Virginia (19121) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Minnie Hamilton Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003815515
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEVIN J BLANKENSHIPCredential: MD
Location Address63 WHARF ST, SUITE 100Morgantown, WV 26501-5937
Mailing Address63 Wharf St, Suite 100Morgantown, WV 26501-5937 · (304) 291-3627 · Fax (304) 598-3630
Phone(304) 291-3627
Fax(304) 598-3630
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 18, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
✔ NPI 1003815515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WV · 19121✔ Licensed in CA · C186856
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
63 WHARF ST, Morgantown, WV 26501
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15725 Ralston St Ste 101Ventura, CA 93003-6053 · Phone (805) 658-2273
Location 214614 Victory BlvdVan Nuys, CA 91411-1621 · Phone (747) 264-1212

Other Identifiers 3

Medicaid0047827000WV
OtherWV19121AWV · Health Plan
Other550783964002WV · Mt State Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin J Blankenship Md 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 ID4183515828
PECOS Enrollment IDI20230724001914, I20250310002397
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kevin Blankenship reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Waterfront Urgent Care PLLC
1.2 mi
Urgent Care
215 DON KNOTTS BLVD
Morgantown, WV 26501
  • Reassigned Medicare billing, West Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1902477714 (304) 290-0000
Ae Urgent Care - Van Nuys
2,147 mi
Urgent Care
14614 VICTORY BLVD
Van Nuys, CA 91411
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1265172266 (747) 264-1212
Ventura Urgent Care Center Medical Corp
2,186 mi
Urgent Care
5725 RALSTON ST STE 101
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1164449971 (805) 658-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
40 services19 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
15 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Minnie Hamilton Health System

Critical Access Hospitals · Grantsville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511303
Location186 Hospital DriveGrantsville, WV 26147 · Calhoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26501 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.

Other Providers at the Same Location NPPES 2

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

BRYAN K. STUCHELL M.D.
Emergency Medicine
63 WHARF ST, SUITE 100
MORGANTOWN, WV 26501
Monongalia County (304) 291-3627
REED ORTHODONTICS, INC
Dentist (Orthodontics and Dentofacial Orthopedics)
63 WHARF ST, SUITE 100
MORGANTOWN, WV 26501
Monongalia County (304) 241-1937

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Blankenship's NPI number?

The NPI number for Kevin Blankenship is 1003815515. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Kevin Blankenship located?

Kevin Blankenship practices at 63 Wharf St Suite 100, Morgantown, WV 26501. The listed phone number is (304) 291-3627.

What is Kevin Blankenship's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Blankenship enrolled in Medicare?

Yes. Kevin Blankenship is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kevin Blankenship's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Blankenship reassigns Medicare benefits to 3 organizations: Waterfront Urgent Care PLLC (Morgantown, WV), Ae Urgent Care - Van Nuys (Van Nuys, CA) and Ventura Urgent Care Center Medical Corp (Ventura, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Blankenship's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Blankenship accept?

Health plans from CareSource list Kevin Blankenship as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Blankenship affiliated with any hospitals?

According to CMS data, Kevin Blankenship is affiliated with Minnie Hamilton Health System.

When was this NPI record last updated?

The NPPES record for Kevin Blankenship was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.