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GURU A R GOPIREDDY MD
NPI 1225593643
Internal Medicine in Parkersburg, WV

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 GARFIELD AVE, PARKERSBURG, WV 26101(304) 420-7161 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2019, Feb 11, 2019 (2 updates tracked since 2019).

About Guru A R Gopireddy Md NPPES

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

GURU A R GOPIREDDY MD (NPI 1225593643) is an individual internal medicine provider in Parkersburg, West Virginia, licensed in West Virginia (31012) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225593643
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGURU A R GOPIREDDYCredential: MD
Location Address800 GARFIELD AVEParkersburg, WV 26101-5376
Mailing Address800 Garfield AveParkersburg, WV 26101-5376
Phone(304) 420-7161
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 11, 2019
Last NPPES UpdateJune 23, 20222 updates tracked since enumeration
NPPES CertifiedJune 23, 2022
✔ NPI 1225593643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WV · 31012✔ Licensed in NY · P14759
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 GARFIELD AVE, Parkersburg, WV 26101
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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

Guru A R Gopireddy 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 ID1850779034
PECOS Enrollment IDI20220531000772
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 Reassignments

2

Medicare enrollment records show Guru Gopireddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camden-Clark Physician Corporation
0.2 mi
Surgery
604 ANN ST
Parkersburg, WV 26101
  • Reassigned Medicare billing, West Virginia enrollment
  • 461 clinicians in this Medicare group
NPI 1710125430 (304) 424-4593
Wetzel County Hospital, Inc.
47 mi
Family Medicine
3 E BENJAMIN DR
New Martinsville, WV 26155
  • Reassigned Medicare billing, West Virginia enrollment
  • 130 clinicians in this Medicare group
NPI 1518590033 (304) 455-8000

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 7

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.

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.
524 services193 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
472 services157 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
248 services226 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.
198 services180 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.
33 services33 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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.

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.

JENNIFER BUTLER CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2111
SARAH RANDOLPH M.S., CCC/SLP
Speech-Language Pathologist
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2645
JUDY A COX CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2590
JULIE A PETTIT CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2590
DR. MICHAEL M DICKERSON M.D.
Emergency Medicine
800 GARFIELD AVE, HEALING CENTER AT CCMH
PARKERSBURG, WV 26101
Wood County (304) 424-2228
KRISTI BURDETTE
Pharmacist
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2120
ASWATHY MATHEWS MD
Student in an Organized Health Care Education/Training Program
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2777
KRISTINA L SULLIVAN CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2590

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 Guru Gopireddy's NPI number?

The NPI number for Guru Gopireddy is 1225593643. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Guru Gopireddy located?

Guru Gopireddy practices at 800 Garfield Ave, Parkersburg, WV 26101. The listed phone number is (304) 420-7161.

What is Guru Gopireddy's specialty?

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

Is Guru Gopireddy enrolled in Medicare?

Yes. Guru Gopireddy 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 organizations bill Medicare for Guru Gopireddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guru Gopireddy reassigns Medicare benefits to 2 organizations: Camden-Clark Physician Corporation (Parkersburg, WV) and Wetzel County Hospital, Inc. (New Martinsville, WV). Each 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 Guru Gopireddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guru Gopireddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Guru Gopireddy 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 Guru Gopireddy affiliated with any hospitals?

According to CMS data, Guru Gopireddy is affiliated with Marietta Memorial Hospital, Camden Clark Medical Center and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Guru Gopireddy was last updated on June 23, 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.