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JOHN THOMAS CONSIDINE DNP, FNP-BC
NPI 1326513748
Nurse Practitioner - Family in Charles Town, WV

Active since October 11, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
912 SOMERSET BLVD, CHARLES TOWN, WV 25414(304) 886-8026 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Thomas Considine Dnp, Fnp-bc NPPES

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

JOHN THOMAS CONSIDINE DNP, FNP-BC (NPI 1326513748) is an individual family provider in Charles Town, West Virginia, licensed in West Virginia (APRN82150-FNP-BC) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1326513748
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN THOMAS CONSIDINECredential: DNP, FNP-BC
Location Address912 SOMERSET BLVDCharles Town, WV 25414-3952
Mailing Address253 Courier DrCharles Town, WV 25414-1482 · (304) 886-8026
Phone(304) 886-8026
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 11, 2018
✔ NPI 1326513748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN82150-FNP-BC
912 SOMERSET BLVD, Charles Town, WV 25414
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Premera Blue Cross Blue Shield of Alaska.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 Thomas Considine Dnp, Fnp-bc 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 ID2668627282
PECOS Enrollment IDI20240709000363
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 3

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 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.
80 services63 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.
49 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25414 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.

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 4

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

WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION
Orthopaedic Surgery
912 SOMERSET BLVD
CHARLES TOWN, WV 25414
Jefferson County (304) 598-4830
GARTH BRADFORD WRIGHT M.D.
Orthopaedic Surgery
912 SOMERSET BLVD, STE 101
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2663
ANTHONY W. CASTO PA-C
Physician Assistant
912 SOMERSET BLVD, SUITE 101
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2663
UNIVERSITY HEALTHCARE PHYSICIANS, INC.
Clinic/Center (Urgent Care)
912 SOMERSET BLVD, STE 102
CHARLES TOWN, WV 25414
Jefferson County (304) 725-2273

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 Considine's NPI number?

The NPI number for John Considine is 1326513748. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is John Considine located?

John Considine practices at 912 Somerset Blvd, Charles Town, WV 25414. The listed phone number is (304) 886-8026.

What is John Considine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Considine enrolled in Medicare?

Yes. John Considine 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 Considine accept?

Health plans from CareSource and Premera Blue Cross Blue Shield of Alaska list John Considine 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.

When was this NPI record last updated?

The NPPES record for John Considine was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.