DR. ARDEL WILLIAM DELGADO GOROSPE M.D.
NPI 1144532342
Family Medicine in Elkins, WV

Q: What is Ardel Gorospe's NPI number?

The NPI number for Ardel Gorospe is 1144532342. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Q: What is Ardel Gorospe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ardel Gorospe was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 06, 2010PECOS EnrolledAccepts Medicare Assignment

812 GORMAN AVE, ELKINS, WV 26241(304) 636-3300 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2024, Apr 11, 2024, Feb 2, 2017 (3 updates tracked since 2017).

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About Dr. Ardel William Delgado Gorospe M.d. NPPES

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

DR. ARDEL WILLIAM DELGADO GOROSPE M.D. (NPI 1144532342) is an individual family medicine provider in Elkins, West Virginia, licensed in West Virginia (32073) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of Loma Linda University School Of Medicine (2010).

NPPES Registry Identity

NPI1144532342

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ARDEL WILLIAM DELGADO GOROSPECredential: M.D.

Location Address812 GORMAN AVEElkins, WV 26241-3181

Mailing Address812 Gorman Ave OfcElkins, WV 26241-3181 · (304) 636-3300

Phone(304) 636-3300

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2010

Enumeration DateJuly 6, 2010

Last NPPES UpdateApril 26, 20243 updates tracked since enumeration

NPPES CertifiedApril 26, 2024

✔ NPI 1144532342 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 · 32073✔ Licensed in TN · 50893

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.

812 GORMAN AVE, Elkins, WV 26241

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Other Identifiers 4

Medicaid1720275571WV

MedicaidQ005172TN

Medicaid1144532342VA

Medicaid1144532342NC

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ardel William Delgado Gorospe M.d. 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 ID8224261185

PECOS Enrollment IDI20230118001113

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.

Medicare Billing Reassignments

Medicare enrollment records show Ardel Gorospe reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis Memorial Hospital

Same address

General Acute Care Hospital

812 GORMAN AVE
Elkins, WV 26241

Reassigned Medicare billing, West Virginia enrollment
246 clinicians in this Medicare group

NPI 1619964806 (304) 636-3300

Blue Ridge Medical Management Corporation

200 mi

Surgery

1901 S SHADY ST
Mountain City, TN 37683

Reassigned Medicare billing, Tennessee enrollment
496 clinicians in this Medicare group

NPI 1063783751 (423) 727-1139

Wellmont Medical Associates, Inc.

203 mi

Internal Medicine

601 COMMONWEALTH DR
Norton, VA 24273

Reassigned Medicare billing, Tennessee enrollment
861 clinicians in this Medicare group

NPI 1003274994 (276) 679-6028

App Of Tennessee Hm, PLLC

431 mi

Hospitalist

2835 HIGHWAY 231 N
Shelbyville, TN 37160

Reassigned Medicare billing, Tennessee enrollment
498 clinicians in this Medicare group

NPI 1396160768 (931) 685-5433

Broaddus Hospital Association, Inc.

Critical Access

#1 HEALTHCARE DRIVE, MANSFIELD HILL
Philippi, WV 26416

Reassigned Medicare billing, West Virginia enrollment
Also billed through NPI 1104989466 (West Virginia)
30 clinicians in this Medicare group

NPI 1548246622 (304) 457-1760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

204 services82 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

102 services94 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.

61 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

47 services21 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.

28 services26 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services16 patients

Hospital Affiliations CMS Care Compare 4

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510030

Location812 Gorman AvenueElkins, WV 26241 · Randolph County

Emergency services Birthing friendly

Webster Memorial Hospital

Critical Access Hospitals · Webster Springs, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511301

Location125 Diana DriveWebster Springs, WV 26288 · Webster County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers28 claims29 services$15.78 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

4 suppliers27 claims28 services$81.86 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.

DAVIS MEMORIAL HOSPITAL

Obstetrics & Gynecology