RUBEN TINAJERO
NPI 1306438726
Psychologist - Clinical in Morgantown, WV

Active since February 08, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501(304) 598-4000 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2022, Feb 8, 2021 (2 updates tracked since 2021).

About Ruben Tinajero NPPES

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

RUBEN TINAJERO (NPI 1306438726) is an individual clinical provider in Morgantown, West Virginia, licensed in West Virginia (1279) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of University Of Utah School Of Medicine (2020).

NPPES Registry Identity

NPI1306438726
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameRUBEN TINAJERO
Location Address6040 UNIVERSITY TOWN CENTRE DRMorgantown, WV 26501-2421
Mailing Address6040 University Town Centre DrMorgantown, WV 26501-2421
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2020
Enumeration DateFebruary 8, 2021
Last NPPES UpdateApril 15, 20222 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
NPI 1306438726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in WV · 1279
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 1279 (WV)
6040 UNIVERSITY TOWN CENTRE DR, Morgantown, WV 26501

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

Ruben Tinajero 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 ID1658787759
PECOS Enrollment IDI20210316001707
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26501 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
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.

Student in an Organized Health Care Education/Training Program
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Student in an Organized Health Care Education/Training Program
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Student in an Organized Health Care Education/Training Program
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Physician Assistant
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Student in an Organized Health Care Education/Training Program
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Pediatrics
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Student in an Organized Health Care Education/Training Program
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501
Family Medicine (Sports Medicine)
6040 UNIVERSITY TOWN CENTRE DR
MORGANTOWN, WV 26501

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 Ruben Tinajero's NPI number?

The NPI number for Ruben Tinajero is 1306438726. It was assigned to this individual provider in the NPPES registry on February 8, 2021.

Where is Ruben Tinajero located?

Ruben Tinajero practices at 6040 University Town Centre Dr, Morgantown, WV 26501. The listed phone number is (304) 598-4000.

What is Ruben Tinajero's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Ruben Tinajero enrolled in Medicare?

Yes. Ruben Tinajero 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 Ruben Tinajero accept?

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

According to CMS data, Ruben Tinajero is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ruben Tinajero was last updated on April 15, 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.