DR. ETHAN B COLLIVER D.O.
NPI 1184803330
Physical Medicine & Rehabilitation in Princeton, WV
About Dr. Ethan B Colliver D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ETHAN B COLLIVER D.O. (NPI 1184803330) is an individual physical medicine & rehabilitation provider in Princeton, West Virginia, licensed in West Virginia (4641) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Ethan B Colliver D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Colliver reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Princeton, WV 24740
- Reassigned Medicare billing, West Virginia enrollment
- 280 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carilion Medical Center
Acute Care Hospitals · Roanoke, VACarilion Tazewell Community Hospital
Acute Care Hospitals · Tazewell, VAPrinceton Community Hospital
Acute Care Hospitals · Princeton, WVMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PRINCETON, WV 24740
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 Ethan Colliver's NPI number?
The NPI number for Ethan Colliver is 1184803330. It was assigned to this individual provider in the NPPES registry on October 24, 2007.
Where is Ethan Colliver located?
Ethan Colliver practices at 122 12th St, Princeton, WV 24740. The listed phone number is (304) 425-7127.
What is Ethan Colliver's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Ethan Colliver enrolled in Medicare?
Yes. Ethan Colliver 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 Ethan Colliver's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Colliver reassigns Medicare benefits to Princeton Community Hospital Assn., Inc. (Princeton, 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 Ethan Colliver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Colliver accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Ethan Colliver 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 Ethan Colliver affiliated with any hospitals?
According to CMS data, Ethan Colliver is affiliated with Carilion Medical Center, Carilion Tazewell Community Hospital and Princeton Community Hospital.
When was this NPI record last updated?
The NPPES record for Ethan Colliver was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.