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DR. TODD A WITSBERGER M.D.
NPI 1245326008
Surgery in Charleston, WV

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1201 WASHINGTON STREET, E, SUITE 103, CHARLESTON, WV 25301(304) 388-7270(304) 388-7280 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Todd A Witsberger M.d. NPPES

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

DR. TODD A WITSBERGER M.D. (NPI 1245326008) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (16578) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (1987).

NPPES Registry Identity

NPI1245326008
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TODD A WITSBERGERCredential: M.D.
Location Address1201 WASHINGTON STREET, E, SUITE 103Charleston, WV 25301
Mailing Address3100 Maccorkle Ave Se, Suite 700Charleston, WV 25304-1223 · (304) 347-1290 · Fax (304) 347-1397
Phone(304) 388-7270
Fax(304) 388-7280
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1987
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1245326008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WV · 16578
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1201 WASHINGTON STREET, E, Charleston, WV 25301
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Other Identifiers 1

Medicaid0125229000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Todd A Witsberger 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 ID8426945676
PECOS Enrollment IDI20040302000776
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 4

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.
31 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services14 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.
17 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. JAMES A LOHAN M.D.
Colon & Rectal Surgery
1201 WASHINGTON STREET, E, SUITE 103
CHARLESTON, WV 25301
Kanawha County (304) 388-7270
DR. FRANK C LUCENTE M.D.
Surgery (Surgical Critical Care)
1201 WASHINGTON STREET, E, SUITE 103
CHARLESTON, WV 25301
Kanawha County (304) 388-7270
DR. BRYAN K RICHMOND M.D.
Surgery
1201 WASHINGTON STREET, E, SUITE 103
CHARLESTON, WV 25301
Kanawha County (304) 388-7270

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 Todd Witsberger's NPI number?

The NPI number for Todd Witsberger is 1245326008. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Todd Witsberger located?

Todd Witsberger practices at 1201 Washington Street, E Suite 103, Charleston, WV 25301. The listed phone number is (304) 388-7270.

What is Todd Witsberger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Todd Witsberger enrolled in Medicare?

Yes. Todd Witsberger 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 Todd Witsberger accept?

Health plans from CareSource list Todd Witsberger 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 Todd Witsberger affiliated with any hospitals?

According to CMS data, Todd Witsberger is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Todd Witsberger was last updated on January 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.