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JULIE SUZANNE BUNNER MD
NPI 1013913011
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wheeling, WV

Active since June 23, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 51D2213825 · Waiver
94.1/100
CMS Quality Rating
58 16TH ST, WHEELING, WV 26003(304) 243-6410(304) 243-6411 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie Suzanne Bunner Md NPPES

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

JULIE SUZANNE BUNNER MD (NPI 1013913011) is an individual endocrinology, diabetes & metabolism provider in Wheeling, West Virginia, licensed in West Virginia (19765) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 16, 2027, and is affiliated with Harrison Community Hospital.

NPPES Registry Identity

NPI1013913011
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameJULIE SUZANNE BUNNERCredential: MD
Location Address58 16TH STWheeling, WV 26003-3660
Mailing Address58 16th StWheeling, WV 26003-3660 · (304) 243-6410 · Fax (304) 243-6411
Phone(304) 243-6410
Fax(304) 243-6411
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1997
Enumeration DateJune 23, 2005
Last NPPES UpdateOctober 9, 2012
✔ NPI 1013913011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WV · 19765
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
58 16TH ST, Wheeling, WV 26003
Open in Google Maps ↗

Other Identifiers 8

Medicaid2325353OH
Other001718176Mountain State Bcbs
Medicaid1812151000WV
Other55035705701WV · Wv Compensation
Medicare ID-Type Unspecified460003529Railroad Medicare
Other19765Health Plan Of Upper Oh V
Medicare ID-Type Unspecified7299201
Medicare UPINH57848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Julie Suzanne Bunner 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 ID1456485622
PECOS Enrollment IDI20100810001151
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2213825

Julie Bunner Of Wheeling Hospital · Wheeling, WV
Active · expires Feb 16, 2027
CLIA Number51D2213825
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorDr. Julie Bunner
Laboratory Phone(304) 243-3848
Laboratory LocationJulie Bunner Of Wheeling HospitalWhg Clinic 58 16th, Wheeling, WV 26003
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

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.
432 services241 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services20 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

Hospital Affiliations CMS Care Compare 5

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

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361311
Location951 East Market StreetCadiz, OH 43907 · Harrison County
Emergency services

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers41 claims522 services$17.91 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers39 claims1,230 services$2.27 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers26 claims26 services$174.06 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers93 claims391 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers45 claims113 services$1.02 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers15 claims15 services$301.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MARNIE J MARKER M.D.
Internal Medicine (Nephrology)
58 16TH ST, SUITE 500
WHEELING, WV 26003
Ohio County (304) 234-1751
GARY A GANZER M.D.
Dermatology (Procedural Dermatology)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-1985
KATARZYNA A PRZYSZLAK MD
Family Medicine
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-2004
KARA MCGILTON DOUGHERTY NP
Nurse Practitioner (Family)
58 16TH ST, 3RD FLOOR
WHEELING, WV 26003
Ohio County (304) 232-5725
MRS. KASI LYN ROGERS RN
Nurse Practitioner (Primary Care)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-2000
KOURTNEY BELL KING MD
Internal Medicine (Pulmonary Disease)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-1935
LISA C HILL MD
Nurse Practitioner (Adult Health)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 233-8788
MS. RENEE BRONGO N.P.
Nurse Practitioner (Family)
58 16TH ST, WHEELING CLINIC
WHEELING, WV 26003
Ohio County (304) 233-8788

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 Julie Bunner's NPI number?

The NPI number for Julie Bunner is 1013913011. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Julie Bunner located?

Julie Bunner practices at 58 16th St, Wheeling, WV 26003. The listed phone number is (304) 243-6410.

What is Julie Bunner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Julie Bunner enrolled in Medicare?

Yes. Julie Bunner 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.

Does Julie Bunner hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2213825) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Julie Bunner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Julie Bunner 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 Julie Bunner affiliated with any hospitals?

According to CMS data, Julie Bunner is affiliated with Harrison Community Hospital, Barnesville Hospital Association, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Julie Bunner was last updated on October 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.