GREGORY PORTER PA
NPI 1053390450
Physician Assistant in South Charleston, WV

Active since January 13, 2006PECOS Enrolled
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309(304) 768-8500(304) 768-8530 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory Porter Pa NPPES

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

GREGORY PORTER PA (NPI 1053390450) is an individual physician assistant in South Charleston, West Virginia, licensed in West Virginia (00672) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053390450
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGREGORY PORTERCredential: PA
Location Address707 CHESTNUT STSouth Charleston, WV 25309-2003
Mailing Address707 Chestnut StSouth Charleston, WV 25309-2003 · (304) 768-8500 · Fax (304) 720-8722
Fax(304) 768-8530
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateOctober 22, 2012
NPI 1053390450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 00672
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

707 CHESTNUT ST, South Charleston, WV 25309

Other Identifiers 9

Other3000325OH · Oh Bwc
Medicare PINP00001426WV
Other001718067WV · Wv Bcbs
Medicare PINP00001449WV
Medicare PINPOPA16521WV
Medicare PINPOPA16523WV
Medicare PINP00001450WV
Medicare UPINP24462WV
Medicare PINPOPA16522WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Gregory Porter Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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 8

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

Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Family Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Family Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Physician Assistant
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Family Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309

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 Gregory Porter's NPI number?

The NPI number for Gregory Porter is 1053390450. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Gregory Porter located?

Gregory Porter practices at 707 Chestnut St, South Charleston, WV 25309. The listed phone number is (304) 768-8500.

What is Gregory Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Gregory Porter enrolled in Medicare?

Yes. Gregory Porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Porter was last updated on October 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.