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DR. TERRY WILLIAM CAPEL MD
NPI 1235106600
Family Medicine in Parkersburg, WV

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
418 GRAND PARK DR STE 311, PARKERSBURG, WV 26105(304) 865-5120 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Terry William Capel Md NPPES

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

DR. TERRY WILLIAM CAPEL MD (NPI 1235106600) is an individual family medicine provider in Parkersburg, West Virginia, licensed in West Virginia (14591) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Camden Clark Medical Center, and is a graduate of West Virginia University School Of Medicine (1984).

NPPES Registry Identity

NPI1235106600
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TERRY WILLIAM CAPELCredential: MD
Location Address418 GRAND PARK DR STE 311Parkersburg, WV 26105-4000
Mailing Address1019 Garfield AveParkersburg, WV 26101-4637
Phone(304) 865-5120
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1984
Enumeration DateMarch 3, 2006
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1235106600 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 · 14591
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.
418 GRAND PARK DR STE 311, Parkersburg, WV 26105
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Other Identifiers 1

Other14591WV · Wv License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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. Terry William Capel 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 ID3779483425
PECOS Enrollment IDI20100818000470
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 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.
128 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.
44 services34 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.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26105 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.

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 4

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

MEGAN ANN FLUHARTY PA-C
Physician Assistant
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 424-4350
SIDDHARTH VERMA M.D.
Internal Medicine (Nephrology)
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 865-5026
MR. MICHAEL SCOGGAN MSN, APRN, ACNPC-AG
Nurse Practitioner (Adult Health)
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 865-5105
DR. NEEHARIKA MUDDANA M.D.
Internal Medicine (Nephrology)
418 GRAND PARK DR STE 311
PARKERSBURG, WV 26105
Wood County (304) 865-5105

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 Terry Capel's NPI number?

The NPI number for Terry Capel is 1235106600. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Terry Capel located?

Terry Capel practices at 418 Grand Park Dr Ste 311, Parkersburg, WV 26105. The listed phone number is (304) 865-5120.

What is Terry Capel's specialty?

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

Is Terry Capel enrolled in Medicare?

Yes. Terry Capel 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 Terry Capel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Highmark Blue Cross Blue Shield West Virginia list Terry Capel 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 Terry Capel affiliated with any hospitals?

According to CMS data, Terry Capel is affiliated with Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Terry Capel was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.