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CATHERINE A ADKINS MD
NPI 1063415859
Family Medicine in Vienna, WV

Active since May 24, 2005PECOS Enrolled
94.1/100
CMS Quality Rating
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105(304) 485-3300(304) 485-3317 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2022, Aug 4, 2021, Jan 13, 2021 and 2 more (5 updates tracked since 2020).

About Catherine A Adkins Md NPPES

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

CATHERINE A ADKINS MD (NPI 1063415859) is an individual family medicine provider in Vienna, West Virginia, licensed in West Virginia (19601) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063415859
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE A ADKINSCredential: MD
Location Address800 GRAND CENTRAL MALL, SUITE 4Vienna, WV 26105-4131
Mailing Address800 Grand Central Mall, Suite 4Vienna, WV 26105-4131 · (304) 485-3300 · Fax (304) 485-3317
Phone(304) 485-3300
Fax(304) 485-3317
Sole ProprietorNo
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 15, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1063415859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 19601✔ Licensed in OH · 35.090395
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.
800 GRAND CENTRAL MALL, Vienna, WV 26105
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Other Identifiers 1

Medicaid5630361000WV

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Catherine A Adkins Md 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.

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.

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.
338 services236 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.
208 services163 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services28 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
29 services24 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
23 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26105 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.

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 9

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
17 suppliers63 claims123 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers17 claims17 services$1.17 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$46.72 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
1 supplier12 claims12 services$91.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$31.69 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers13 claims1,887 services$0.03 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.

MID-OHIO VALLEY NEPHROLOGY ASSOCIATION
Internal Medicine (Nephrology)
800 GRAND CENTRAL MALL, SUITE 9
VIENNA, WV 26105
Wood County (304) 834-3970
DR. JOHN KEVIN KOCH MD
Surgery
800 GRAND CENTRAL MALL, SUITE 2
VIENNA, WV 26105
Wood County (304) 865-4350
GINA MARIE PRUNTY
Nurse Practitioner
800 GRAND CENTRAL MALL
VIENNA, WV 26105
Wood County (304) 485-3300
MRS. AMY LOUDEN DEHMLOW MA PSYCHOLOGIST
Counselor (Mental Health)
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300
PAMELA J PARKER FNP-BC
Nurse Practitioner (Family)
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-4439
JANELLE MARIE KING M.D.
Dermatology
800 GRAND CENTRAL MALL, SUITE 3
VIENNA, WV 26105
Wood County (304) 865-0555
PARKERSBURG RADIOLOGY, LLC
Radiology (Diagnostic Radiology)
800 GRAND CENTRAL MALL, SUITE 7
VIENNA, WV 26105
Wood County (304) 422-3916
EDWARD GLENN WEBER MPT
Physical Therapist
800 GRAND CENTRAL MALL, SUITE 1
VIENNA, WV 26105
Wood County (304) 865-6777

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 Catherine Adkins's NPI number?

The NPI number for Catherine Adkins is 1063415859. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Catherine Adkins located?

Catherine Adkins practices at 800 Grand Central Mall Suite 4, Vienna, WV 26105. The listed phone number is (304) 485-3300.

What is Catherine Adkins's specialty?

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

Is Catherine Adkins enrolled in Medicare?

Yes. Catherine Adkins is registered in the Medicare PECOS enrollment system.

What insurance does Catherine Adkins accept?

Health plans from CareSource list Catherine Adkins 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.

When was this NPI record last updated?

The NPPES record for Catherine Adkins was last updated on September 15, 2022. 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.