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DR. DAVID A GHAPHERY MD
NPI 1023179249
Surgery in Wheeling, WV

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
601 NATIONAL ROAD, WHEELING, WV 26003(304) 232-3520(304) 232-8391 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David A Ghaphery Md NPPES

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

DR. DAVID A GHAPHERY MD (NPI 1023179249) is an individual surgery provider in Wheeling, West Virginia, licensed in West Virginia (16048) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (1988).

NPPES Registry Identity

NPI1023179249
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID A GHAPHERYCredential: MD
Location Address601 NATIONAL ROADWheeling, WV 26003
Mailing Address601 National RoadWheeling, WV 26003 · (304) 232-3520 · Fax (304) 232-8391
Phone(304) 232-3520
Fax(304) 232-8391
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1988
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 26, 2008
✔ NPI 1023179249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 16048
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
601 NATIONAL ROAD, Wheeling, WV 26003
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Other Identifiers 5

Medicaid0945937OH
Medicare UPINF62081
Medicare PIN0743433OH
Medicare ID-Type UnspecifiedGH0743432WV
Medicaid0125502000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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. David A Ghaphery 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 ID5799969176
PECOS Enrollment IDI20110519000252
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 8

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 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.
146 services122 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.
54 services54 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.
41 services34 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.
22 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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

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
$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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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

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

AD GHAPHERY MD PROFESSIONAL ASSOCIATION
Surgery
601 NATIONAL ROAD
WHEELING, WV 26003
Ohio County (304) 232-3520

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 David Ghaphery's NPI number?

The NPI number for David Ghaphery is 1023179249. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is David Ghaphery located?

David Ghaphery practices at 601 National Road, Wheeling, WV 26003. The listed phone number is (304) 232-3520.

What is David Ghaphery's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Ghaphery enrolled in Medicare?

Yes. David Ghaphery 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.

What insurance does David Ghaphery accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list David Ghaphery 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 David Ghaphery affiliated with any hospitals?

According to CMS data, David Ghaphery is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for David Ghaphery was last updated on March 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.