RACHEL TOOTHMAN
NPI 1093495772
Nurse Practitioner in Morgantown, WV

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(304) 598-4000 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rachel Toothman NPPES

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

RACHEL TOOTHMAN (NPI 1093495772) is an individual nurse practitioner in Morgantown, West Virginia, licensed in West Virginia (116030) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093495772
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHEL TOOTHMAN
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing Address80 Cara Jo LnClarksburg, WV 26301-6475
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1093495772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WV · 116030
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 MEDICAL CENTER DR, Morgantown, WV 26506

Accepted 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

Rachel Toothman 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 ID3678929601
PECOS Enrollment IDI20231027001798
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 2024 & 2026 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.
74 services74 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.
34 services34 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.
28 services28 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.
27 services27 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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 20

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

Emergency Medicine
1 MEDICAL CENTER DR, HSC DEPT. OF EMERGENCY MEDICINE
MORGANTOWN, WV 26506
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Emergency Medicine
1 MEDICAL CENTER DR, DEPT. OF EMERGENCY MEDICINE
MORGANTOWN, WV 26506
Emergency Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Physician Assistant
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR, WVU HOSPITAL ,DEPARTMENT OF MEDICINE
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093495772, enumerated as an "individual" on July 19, 2023.

The provider is located at 1 MEDICAL CENTER DR MORGANTOWN, WV 26506 and the phone number is (304) 598-4000.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Rachel Toothman is affiliated with: WEST VIRGINIA UNIVERSITY HOSPITALS, INC.