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DR. MADELEINE GWINN DO
NPI 1154868628
Family Medicine in Shinnston, WV

Active since January 23, 2017PECOS EnrolledAccepts Medicare Assignment
686 S PIKE ST, SHINNSTON, WV 26431(681) 342-3800 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2025, Jul 27, 2022, Jan 23, 2017 (3 updates tracked since 2017).

About Dr. Madeleine Gwinn Do NPPES

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

DR. MADELEINE GWINN DO (NPI 1154868628) is an individual family medicine provider in Shinnston, West Virginia, licensed in West Virginia (4355) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of West Virginia School Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1154868628
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MADELEINE GWINNCredential: DO
Location Address686 S PIKE STShinnston, WV 26431-1043
Mailing Address686 S Pike StShinnston, WV 26431-1043 · (681) 342-3800
Phone(681) 342-3800
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2022
Enumeration DateJanuary 23, 2017
Last NPPES UpdateAugust 25, 20253 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1154868628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 4355
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.
686 S PIKE ST, Shinnston, WV 26431
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Accepted Insurance

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

Dr. Madeleine Gwinn Do 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 ID9638679400
PECOS Enrollment IDI20250826000858
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26431 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 5

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

SARAH R. PATRICK FNP-BC
Nurse Practitioner (Family)
686 S PIKE ST
SHINNSTON, WV 26431
Harrison County (304) 592-2100
UNITED PHYSICIANS CARE INC
Family Medicine
686 S PIKE ST, STE A
SHINNSTON, WV 26431
Harrison County (304) 624-4655
UNITED PHYSICIANS CARE INC
Clinical Medical Laboratory
686 S PIKE ST
SHINNSTON, WV 26431
Harrison County (304) 592-2100
LANCE DIETER DUBBERKE M.D.
Family Medicine
686 S PIKE ST
SHINNSTON, WV 26431
Harrison County (304) 592-2100
DR. KRISTIAN M MORRISON MD
Family Medicine
686 S PIKE ST
SHINNSTON, WV 26431
Harrison County (304) 592-2100

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 Madeleine Gwinn's NPI number?

The NPI number for Madeleine Gwinn is 1154868628. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Madeleine Gwinn located?

Madeleine Gwinn practices at 686 S Pike St, Shinnston, WV 26431. The listed phone number is (681) 342-3800.

What is Madeleine Gwinn's specialty?

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

Is Madeleine Gwinn enrolled in Medicare?

Yes. Madeleine Gwinn 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.

What insurance does Madeleine Gwinn accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Madeleine Gwinn 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 Madeleine Gwinn affiliated with any hospitals?

According to CMS data, Madeleine Gwinn is affiliated with United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Madeleine Gwinn was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.