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MARIA ROSALIA TIRONA MD
NPI 1154381796
Internal Medicine - Hematology & Oncology in Huntington, WV

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
1400 HAL GREER BOULEVARD, HUNTINGTON, WV 25701(304) 399-6610(304) 399-6621 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 6, 2021, May 4, 2021 (2 updates tracked since 2021).

About Maria Rosalia Tirona Md NPPES

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

MARIA ROSALIA TIRONA MD (NPI 1154381796) is an individual hematology & oncology provider in Huntington, West Virginia, licensed in West Virginia (16989) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Cabell Huntington Hospital, Inc, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1154381796
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameMARIA ROSALIA TIRONACredential: MD
Location Address1400 HAL GREER BOULEVARDHuntington, WV 25701-4114
Mailing Address1400 Hal Greer BoulevardHuntington, WV 25701-4114 · (304) 399-6610 · Fax (304) 399-6621
Phone(304) 399-6610
Fax(304) 399-6621
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateMarch 27, 2006
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1154381796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in WV · 16989
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1400 HAL GREER BOULEVARD, Huntington, WV 25701
Open in Google Maps ↗

Other Identifiers 3

Medicaid1806454000WV
Medicaid64039068KY
Medicaid2270359OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield West Virginia, Peak Health Insurance.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

Maria Rosalia Tirona 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 ID8022030295
PECOS Enrollment IDI20060103000043
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 Reassignment

Medicare enrollment records show Maria Tirona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cabell Huntington Hospital Inc
Same address
General Acute Care Hospital
1400 HAL GREER BLVD
Huntington, WV 25701
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1104901784 (304) 526-2000

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.

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.
516 services218 patients
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.
83 services38 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.
49 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services37 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.
30 services29 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 services14 patients

Hospital Affiliations CMS Care Compare

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

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510055
Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
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 4

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

Capecitabine, oral, 150 mg J8520
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims756 services$0.43 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier62 claims5,174 services$0.77 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier49 claims49 services$18.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier24 claims27 services$12.59 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 2

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

JACK R TRAYLOR MD
Surgery
1400 HAL GREER BOULEVARD
HUNTINGTON, WV 25701
Cabell County (304) 399-6609
GERARD J OAKLEY MD
Obstetrics & Gynecology (Gynecologic Oncology)
1400 HAL GREER BOULEVARD
HUNTINGTON, WV 25701
Cabell County (304) 399-6609

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 Maria Tirona's NPI number?

The NPI number for Maria Tirona is 1154381796. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Maria Tirona located?

Maria Tirona practices at 1400 Hal Greer Boulevard, Huntington, WV 25701. The listed phone number is (304) 399-6610.

What is Maria Tirona's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Maria Tirona enrolled in Medicare?

Yes. Maria Tirona 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.

Which organization bills Medicare for Maria Tirona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Tirona reassigns Medicare benefits to Cabell Huntington Hospital Inc (Huntington, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Tirona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Tirona accept?

Health plans from Blue Cross and Blue Shield of Texas, Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Maria Tirona 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 Maria Tirona affiliated with any hospitals?

According to CMS data, Maria Tirona is affiliated with Cabell Huntington Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Maria Tirona was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.