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DENZIL W HAWKINBERRY II MD
NPI 1376644401
Anesthesiology - Addiction Medicine in Buckhannon, WV

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
34 N KANAWHA ST, BUCKHANNON, WV 26201(304) 473-2250(304) 924-5460 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Denzil W Hawkinberry Ii Md NPPES

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

DENZIL W HAWKINBERRY II MD (NPI 1376644401) is an individual addiction medicine provider in Buckhannon, West Virginia, licensed in West Virginia (20823) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in West Milford, and is a graduate of West Virginia University School Of Medicine (2000).

NPPES Registry Identity

NPI1376644401
Entity TypeIndividualMale
Primary Taxonomy207LA0401X
Provider Legal NameDENZIL W HAWKINBERRY IICredential: MD
Location Address34 N KANAWHA STBuckhannon, WV 26201-2714
Mailing Address34 N Kanawha StBuckhannon, WV 26201-2714 · (304) 473-2250 · Fax (304) 924-5460
Phone(304) 473-2250
Fax(304) 924-5460
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2000
Enumeration DateSeptember 25, 2006
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1376644401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LA0401X
License✔ Licensed in WV · 20823
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 20823 (WV)
34 N KANAWHA ST, Buckhannon, WV 26201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1924 Liberty StreetWest Milford, WV 26451 · Phone (304) 745-4568 · Fax (304) 326-3700

Other Identifiers 17

Other20554238700WV · Workers Comp
Medicaid3810006746WV
OtherDF0767WV · Rr Medicare
Other2528367WV · Ohio Medicaid
Other270052997004WV · Tricare Maac
OtherP00407274WV · Rr Medicare
Other001706469WV · Blue Cross
Medicaid3810001133WV
Other001808009WV · Msbcbs
Other001907643WV · Msbcbs Group
Other2332177174-00WV · Ohio Workers Comp
Other27005997004WV · Tricare
Other1068812WV · Brickstreet
Other205542387WV · Tricare
Other205542387001WV · Tricare
OtherP00382001WV · Rr Medicare
Medicaid0207026000WV

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Denzil W Hawkinberry Ii Md 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 ID345205340
PECOS Enrollment IDI20041201000135, I20221219000160
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Denzil Hawkinberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.
Same address
Federally Qualified Health Center (FQHC)
34 N KANAWHA ST
Buckhannon, WV 26201
NPI 1063048189 (304) 924-6262
Community Care Of West Virginia, Inc.
10 mi
Federally Qualified Health Center (FQHC)
133 STAUNTON DR
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 28 clinicians in this Medicare group
NPI 1275271611 (304) 473-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26201 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
97%30 patients4/55-star benchmark: 100%
Breast Cancer Screening
45%20 patients2/55-star benchmark: 93%
Cervical Cancer Screening
42%96 patients2/55-star benchmark: 98%
Controlling High Blood Pressure
80%45 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%1,065 patients4/55-star benchmark: 100%
HIV Screening
85%248 patients5/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%221 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
89%93 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%620 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 240 patients
Patients screened: 97% · 240 patients
97%198 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
62%21 patients2/55-star benchmark: 91%
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.

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.

KATINA LYNN WESTFALL LGSW
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 619-1517
JEDIDIAH DAVIDSON MALLOW
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-2250
ANGELA LYNN BENEDUM
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
COURTNEY HENTHORNE
Case Manager/Care Coordinator
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
COMMUNITY CARE OF WEST VIRGINIA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 924-6262
JAMES JACKSON
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
SHAWNA COGAR LGSW
Social Worker
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600
PATRICK STARKEY
Peer Specialist
34 N KANAWHA ST
BUCKHANNON, WV 26201
Upshur County (304) 473-5600

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 Denzil Hawkinberry's NPI number?

The NPI number for Denzil Hawkinberry is 1376644401. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Denzil Hawkinberry located?

Denzil Hawkinberry practices at 34 N Kanawha St, Buckhannon, WV 26201. The listed phone number is (304) 473-2250.

What is Denzil Hawkinberry's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.

Is Denzil Hawkinberry enrolled in Medicare?

Yes. Denzil Hawkinberry 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.

Which organizations bill Medicare for Denzil Hawkinberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denzil Hawkinberry reassigns Medicare benefits to 2 organizations: Community Care Of West Virginia, Inc. (Buckhannon, WV) and Community Care Of West Virginia, Inc. (Weston, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denzil Hawkinberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Denzil Hawkinberry accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Denzil Hawkinberry 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 Denzil Hawkinberry was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.