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DR. CYNTHIA CLARK CLARKSON M.D.
NPI 1225248032
General Practice in Morgantown, WV

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
101 STADIUM DR, MORGANTOWN, WV 26506(304) 598-4850(304) 598-4871 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2022, Jan 6, 2021 (2 updates tracked since 2021).

About Dr. Cynthia Clark Clarkson M.d. NPPES

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

DR. CYNTHIA CLARK CLARKSON M.D. (NPI 1225248032) is an individual general practice provider in Morgantown, West Virginia, licensed in West Virginia (22460) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2004).

NPPES Registry Identity

NPI1225248032
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. CYNTHIA CLARK CLARKSONCredential: M.D.
Location Address101 STADIUM DRMorgantown, WV 26506-7911
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Phone(304) 598-4850
Fax(304) 598-4871
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2004
Enumeration DateMay 23, 2007
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1225248032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in WV · 22460
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
101 STADIUM DR, Morgantown, WV 26506
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Other Identifiers 1

Medicaid3810012867WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Cynthia Clark Clarkson 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 ID7618043084
PECOS Enrollment IDI20080909000254
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 Cynthia Clarkson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Virginia University Medical Corporation
0.3 mi
Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1275504508 (304) 598-4800

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 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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
154 services59 patients
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.
143 services81 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.
42 services42 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.
28 services25 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

Medicare 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

DR. SARAH HELEN SOFKA MD
Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 293-7401
DR. FATIMA ASAD MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
DR. MOHAMMED M ALNAMNAKANI M.D
Student in an Organized Health Care Education/Training Program
101 STADIUM DR, ROBERT C. BYRD HEALTH SCIENCES CENTER
MORGANTOWN, WV 26506
Monongalia County (304) 293-1621
PATRICK S TROUTEN MD
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
DR. MARIA ANN LONG M.D.
Emergency Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 293-2436
KATHERINE LOUISE BERGMAN
Internal Medicine
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850
WALTER J KIELKOWSKI CRNA
Nurse Anesthetist, Certified Registered
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ASHLEY NICOLE EBY
Student in an Organized Health Care Education/Training Program
101 STADIUM DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4850

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 Cynthia Clarkson's NPI number?

The NPI number for Cynthia Clarkson is 1225248032. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Cynthia Clarkson located?

Cynthia Clarkson practices at 101 Stadium Dr, Morgantown, WV 26506. The listed phone number is (304) 598-4850.

What is Cynthia Clarkson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Cynthia Clarkson enrolled in Medicare?

Yes. Cynthia Clarkson 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 Cynthia Clarkson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Clarkson reassigns Medicare benefits to West Virginia University Medical Corporation (Morgantown, 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 Cynthia Clarkson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Clarkson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Cynthia Clarkson 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 Cynthia Clarkson affiliated with any hospitals?

According to CMS data, Cynthia Clarkson is affiliated with West Virginia University Hospitals, Inc and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Clarkson was last updated on April 8, 2022. 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.