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ERONA REZA MBBS, CCFP
NPI 1316436694
Family Medicine - Geriatric Medicine in Morgantown, WV

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
6040 UNIVERSITY TOWN CENTRE DRIVE, MORGANTOWN, WV 26501(304) 598-6900(304) 285-7372 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 15, 2022, Jan 10, 2021, Oct 22, 2020 and 2 more (5 updates tracked since 2018).

About Erona Reza Mbbs, Ccfp NPPES

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

ERONA REZA MBBS, CCFP (NPI 1316436694) is an individual geriatric medicine provider in Morgantown, West Virginia, licensed in West Virginia (1013) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1316436694
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameERONA REZACredential: MBBS, CCFP
Location Address6040 UNIVERSITY TOWN CENTRE DRIVEMorgantown, WV 26501-2421
Mailing Address6040 University Town Centre DriveMorgantown, WV 26501-2421 · (304) 598-6900 · Fax (304) 285-7372
Phone(304) 598-6900
Fax(304) 285-7372
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 2, 2018
Last NPPES UpdateApril 15, 20225 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1316436694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in WV · 1013
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
6040 UNIVERSITY TOWN CENTRE DRIVE, Morgantown, WV 26501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Erona Reza Mbbs, Ccfp 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 ID1456601434
PECOS Enrollment IDI20200302000121
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.
223 services123 patients
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.
82 services55 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.
69 services69 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.
33 services24 patients
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.
17 services12 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.
16 services15 patients

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
$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 2

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
5 suppliers14 claims34 services$6.21 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
4 suppliers15 claims15 services$184.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Erona Reza's NPI number?

The NPI number for Erona Reza is 1316436694. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Erona Reza located?

Erona Reza practices at 6040 University Town Centre Drive, Morgantown, WV 26501. The listed phone number is (304) 598-6900.

What is Erona Reza's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Erona Reza enrolled in Medicare?

Yes. Erona Reza 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 Erona Reza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Erona Reza 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 Erona Reza affiliated with any hospitals?

According to CMS data, Erona Reza is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Erona Reza was last updated on April 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.