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JOHN HUNTER LEWIS DO
NPI 1306935192
Family Medicine in Charleston, WV

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1097 FLEDDERJOHN RD, TMH ASHTON MEDICAL ASSOCIATES, CHARLESTON, WV 25314(304) 345-3627(304) 346-4440 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2024, Dec 29, 2021, Jan 7, 2021 and 3 more (6 updates tracked since 2017).

About John Hunter Lewis Do NPPES

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

JOHN HUNTER LEWIS DO (NPI 1306935192) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (1496) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306935192
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN HUNTER LEWISCredential: DO
Location Address1097 FLEDDERJOHN RD, TMH ASHTON MEDICAL ASSOCIATESCharleston, WV 25314-4208
Mailing Address4605 Maccorkle Ave Sw, Ths Physician Partners, Inc.-admin OfcSouth Charleston, WV 25309-1311 · (304) 414-4800
Phone(304) 345-3627
Fax(304) 346-4440
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1994
Enumeration DateOctober 12, 2006
Last NPPES UpdateSeptember 20, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1306935192 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 · 1496
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.
1097 FLEDDERJOHN RD, Charleston, WV 25314
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Secondary Practice Locations 3

Location 1333 Laidley StCharleston, WV 25301-1614 · Phone (304) 347-6773 · Fax (304) 347-6848
Location 24605 MacCorkle Ave SW, THS Physician Partners, Inc.-Admin OfcSouth Charleston, WV 25309-1311 · Phone (304) 414-4800
Location 31416 MacCorkle Ave SWCharleston, WV 25303-1324 · Phone (304) 744-7517

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

John Hunter Lewis Do 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 ID5395709554
PECOS Enrollment IDI20041208000039
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 6

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 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.
394 services194 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.
248 services30 patients
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.
154 services103 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
131 services27 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.
118 services118 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25314 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.

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

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%48 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
100%552 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%107 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%548 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 118 patients
Patients totalRate: 2% · 118 patients
2%118 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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
9 suppliers29 claims88 services$6.11 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers12 claims12 services$2.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims29 services$1.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$17.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$91.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers13 claims13 services$204.01 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 11

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

SAMAR RYIAD SANKARI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 720-1963
CHRISTINA HAIKAL STROPE RPH
Pharmacist
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 767-7920
JORDAN CANANKAMP PHARMD
Pharmacist (Ambulatory Care)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
DR. RICHARD A. CAPITO MD
Internal Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
DR. KWASI AMPONSAH GAMBRAH M.D.
Family Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
HERBERT J THOMAS MEMORIAL HOSPITAL ASSOCIATION
Pharmacy (Community/Retail Pharmacy)
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 767-7920
DR. MICHELLE LYNN KNIGHT PHARM.D.
Pharmacist (Ambulatory Care)
1097 FLEDDERJOHN RD, ASHTON MEDICAL ASSOCIATES, INC.
CHARLESTON, WV 25314
Kanawha County (304) 345-3627
ASHTON MEDICAL ASSOCIATES INC
Family Medicine
1097 FLEDDERJOHN RD
CHARLESTON, WV 25314
Kanawha County (304) 345-3627

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 John Lewis's NPI number?

The NPI number for John Lewis is 1306935192. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is John Lewis located?

John Lewis practices at 1097 Fledderjohn Rd Tmh Ashton Medical Associates, Charleston, WV 25314. The listed phone number is (304) 345-3627.

What is John Lewis's specialty?

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

Is John Lewis enrolled in Medicare?

Yes. John Lewis 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 John Lewis accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list John Lewis 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 John Lewis affiliated with any hospitals?

According to CMS data, John Lewis is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Lewis was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.