DR. CATHERINE M. CHUA D.O.
NPI 1295726685
Family Medicine in Elkins, WV

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
812 GORMAN AVE, ELKINS, WV 26241(304) 637-0433(304) 637-0435 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Catherine M. Chua D.o. NPPES

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

DR. CATHERINE M. CHUA D.O. (NPI 1295726685) is an individual family medicine provider in Elkins, West Virginia, licensed in West Virginia (1965) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1295726685
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CATHERINE M. CHUACredential: D.O.
Location Address812 GORMAN AVEElkins, WV 26241-3181
Mailing Address812 Gorman AveElkins, WV 26241-3181 · (304) 637-3894 · Fax (304) 637-0435
Fax(304) 637-0435
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2001
Enumeration DateNovember 3, 2005
Last NPPES UpdateNovember 2, 2015
NPI 1295726685 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 · 1965
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.
812 GORMAN AVE, Elkins, WV 26241

Other Identifiers 2

Medicare PINWV3658AWV
Medicaid1842049000WV

Accepted 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. Catherine M. Chua 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.

PECOS PAC ID244246262
PECOS Enrollment IDI20100505000178
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 8

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
516 services173 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.
217 services98 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
187 services151 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
102 services12 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.
60 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
59 services48 patients

Hospital Affiliations CMS Care Compare 5

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510030
Location812 Gorman AvenueElkins, WV 26241 · Randolph County
Emergency services Birthing friendly

Broaddus Hospital Association, Inc

Critical Access Hospitals · Philippi, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511300
Location1 Healthcare Drive Mansfield HillPhilippi, WV 26416 · Barbour County
Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers36 claims144 services$6.47 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.95 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier12 claims24 services$8.59 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier11 claims110 services$3.20 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each A4373
DME-Orthotic Devices · category DF010N
1 supplier12 claims180 services$5.54 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each A4433
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
812 GORMAN AVE
ELKINS, WV 26241
Physician Assistant
812 GORMAN AVE
ELKINS, WV 26241
Podiatrist (Foot Surgery)
812 GORMAN AVE
ELKINS, WV 26241
Nurse Anesthetist, Certified Registered
812 GORMAN AVE
ELKINS, WV 26241
Family Medicine
812 GORMAN AVE
ELKINS, WV 26241
Audiologist-Hearing Aid Fitter
812 GORMAN AVE
ELKINS, WV 26241
Advanced Practice Midwife
812 GORMAN AVE
ELKINS, WV 26241
Surgery
812 GORMAN AVE
ELKINS, WV 26241

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 Catherine Chua's NPI number?

The NPI number for Catherine Chua is 1295726685. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Catherine Chua located?

Catherine Chua practices at 812 Gorman Ave, Elkins, WV 26241. The listed phone number is (304) 637-0433.

What is Catherine Chua's specialty?

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

Is Catherine Chua enrolled in Medicare?

Yes. Catherine Chua 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 Catherine Chua accept?

Health plans from CareSource list Catherine Chua 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 Catherine Chua affiliated with any hospitals?

According to CMS data, Catherine Chua is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Davis Medical Center, Broaddus Hospital Association, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Catherine Chua was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.