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LORI DAWN GLEDHILL M.D.
NPI 1316971427
Family Medicine in Williamstown, WV

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
108 OSPREY DR STE A, WILLIAMSTOWN, WV 26187(304) 865-5101(304) 865-5567 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 10, 2024, Mar 15, 2023, Feb 27, 2022 and 3 more (6 updates tracked since 2018).

About Lori Dawn Gledhill M.d. NPPES

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

LORI DAWN GLEDHILL M.D. (NPI 1316971427) is an individual family medicine provider in Williamstown, West Virginia, licensed in West Virginia (31011) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1316971427
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORI DAWN GLEDHILLCredential: M.D.
Location Address108 OSPREY DR STE AWilliamstown, WV 26187-8556
Mailing Address3738 Davis Stuart RdLewisburg, WV 24901-9740 · (304) 645-3207 · Fax (304) 645-3128
Phone(304) 865-5101
Fax(304) 865-5567
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 10, 20246 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1316971427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 31011✔ Licensed in PA · MD466373
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.
108 OSPREY DR STE A, Williamstown, WV 26187
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Other Names 1

Former Name (1)Lori Dawn Dejerld M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

Lori Dawn Gledhill 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 ID8729087135
PECOS Enrollment IDI20220121000569
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.

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.
331 services155 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.
149 services74 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.
71 services71 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
34 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 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.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26187 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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers18 claims46 services$6.26 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
3 suppliers11 claims11 services$118.50 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers15 claims15 services$27.87 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 2

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

DANIEL SHANK DO
Internal Medicine
108 OSPREY DR STE A
WILLIAMSTOWN, WV 26187
Wood County (304) 865-5101
CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION
Podiatrist
108 OSPREY DR STE A
WILLIAMSTOWN, WV 26187
Wood County (304) 865-5101

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 Lori Gledhill's NPI number?

The NPI number for Lori Gledhill is 1316971427. It was assigned to this individual provider in the NPPES registry on July 11, 2006. The provider is also known as Lori Dawn Dejerld M.D..

Where is Lori Gledhill located?

Lori Gledhill practices at 108 Osprey Dr Ste A, Williamstown, WV 26187. The listed phone number is (304) 865-5101.

What is Lori Gledhill's specialty?

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

Is Lori Gledhill enrolled in Medicare?

Yes. Lori Gledhill 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 Lori Gledhill accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Lori Gledhill 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 Lori Gledhill affiliated with any hospitals?

According to CMS data, Lori Gledhill is affiliated with Camc Greenbrier Valley Medical Center, Inc and Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Gledhill was last updated on October 10, 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.