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TERESA MCCLUNG SITLER MD
NPI 1164485983
Internal Medicine in Charleston, WV

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
300 KENTON DR, SUITE 100, CHARLESTON, WV 25311(304) 346-5533(304) 346-5611 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Teresa Mcclung Sitler Md NPPES

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

TERESA MCCLUNG SITLER MD (NPI 1164485983) is an individual internal medicine provider in Charleston, West Virginia, licensed in West Virginia (20491) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (1999).

NPPES Registry Identity

NPI1164485983
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTERESA MCCLUNG SITLERCredential: MD
Location Address300 KENTON DR, SUITE 100Charleston, WV 25311-1263
Mailing Address300 Kenton Dr, Suite 100Charleston, WV 25311-1263 · (304) 346-5533 · Fax (304) 346-5611
Phone(304) 346-5533
Fax(304) 346-5611
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1999
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 7, 2013
✔ NPI 1164485983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 20491
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 KENTON DR, Charleston, WV 25311
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Other Identifiers 8

Medicaid3810001081WV
Other001706175WV · Blue Cross Number For Group
Other1447349238WV · Npi Number For Group
OtherP00215125WV · Railroad Number For Group
Medicare PINM09348961WV
OtherDC7713WV · Umwa Number For Group
OtherP00189318WV · Umwa Pin Number For Group
Medicare UPINY21949

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

Teresa Mcclung Sitler 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 ID6507751021
PECOS Enrollment IDI20040216000323
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.
133 services105 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
126 services126 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.
48 services38 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
40 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Roane General Hospital

Critical Access Hospitals · Spencer, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511306
Location200 Hospital DriveSpencer, WV 25276 · Roane County
Emergency services

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25311 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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 3

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
9 suppliers22 claims69 services$6.53 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims18 services$1.08 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$203.02 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 14

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

COLEY DUNIGAN
Counselor
300 KENTON DR, SUITE 200
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
JENNIFER BOGAR
Counselor (Professional)
300 KENTON DR, SUITE 200
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
JAMIE CARRIER
Counselor
300 KENTON DR
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
MRS. ALICIA BETH HARPER RN, MSN, FNP-C
Nurse Practitioner (Family)
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533
DR. ELIZABETH JOHNSON YOUNG MD
Internal Medicine
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533
JENNIFER CRUM
Counselor
300 KENTON DR
CHARLESTON, WV 25311
Kanawha County (304) 347-9818
MOUNTAIN STATE MEDICAL ASSOCIATES PLLC
Internal Medicine
300 KENTON DR, SUITE 100
CHARLESTON, WV 25311
Kanawha County (304) 346-5533
KVC
Community/Behavioral Health
300 KENTON DR, SUITE 200
CHARLESTON, WV 25311
Kanawha County (304) 347-9818

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 Teresa Sitler's NPI number?

The NPI number for Teresa Sitler is 1164485983. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Teresa Sitler located?

Teresa Sitler practices at 300 Kenton Dr Suite 100, Charleston, WV 25311. The listed phone number is (304) 346-5533.

What is Teresa Sitler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Teresa Sitler enrolled in Medicare?

Yes. Teresa Sitler 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 Teresa Sitler accept?

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

According to CMS data, Teresa Sitler is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital, Roane General Hospital and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Teresa Sitler was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.