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JAMES DAVID ABEL MD
NPI 1376729244
Psychiatry & Neurology - Psychiatry in Fairmont, WV

Active since January 10, 2008PECOS Enrolled
88.29/100
CMS Quality Rating
1228 COUNTRY CLUB RD, SUITE 800, FAIRMONT, WV 26554(304) 367-7100 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James David Abel Md NPPES

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

JAMES DAVID ABEL MD (NPI 1376729244) is an individual psychiatry provider in Fairmont, West Virginia, licensed in West Virginia (23940) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of West Virginia University School Of Medicine (2006).

NPPES Registry Identity

NPI1376729244
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJAMES DAVID ABELCredential: MD
Location Address1228 COUNTRY CLUB RD, SUITE 800Fairmont, WV 26554-2369
Mailing Address1228 Country Club Rd, Suite 800Fairmont, WV 26554-2369
Phone(304) 367-7100
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2006
Enumeration DateJanuary 10, 2008
Last NPPES UpdateAugust 14, 2013
✔ NPI 1376729244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WV · 23940
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1228 COUNTRY CLUB RD, Fairmont, WV 26554
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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 (PECOS)

James David Abel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214120369
PECOS Enrollment IDI20101021000054
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 2

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.
76 services26 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.
72 services28 patients

Hospital Affiliations CMS Care Compare

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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.

88.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.3
Promoting Interoperability100
Improvement Activities0
Cost100

Other Providers at the Same Location NPPES 10

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

PAMELA FISHER
Nurse Practitioner (Psychiatric/Mental Health)
1228 COUNTRY CLUB RD, SUITE 800
FAIRMONT, WV 26554
Marion County (304) 363-8844
RUSTY L. CAIN INC
Podiatrist (Foot Surgery)
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 363-3338
JEFF CHARLES ERICKSON
Physical Therapist
1228 COUNTRY CLUB RD, SUITE 400
FAIRMONT, WV 26554
Marion County (304) 366-0461
RUSTY L. CAIN DPM
Podiatrist (Foot & Ankle Surgery)
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 363-3338
ORTHONIKS PLLC
Orthopaedic Surgery
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 368-5200
DAVID A CIAROLLA, MD, INC
Internal Medicine (Gastroenterology)
1228 COUNTRY CLUB RD, SUITE 300
FAIRMONT, WV 26554
Marion County (304) 363-7990
RICHARD ALAN SIMPSON MD
Internal Medicine
1228 COUNTRY CLUB RD, SUITE 100
FAIRMONT, WV 26554
Marion County (304) 367-7100
THE KUZBARI CLINIC, PLLC
Internal Medicine
1228 COUNTRY CLUB RD
FAIRMONT, WV 26554
Marion County (304) 333-5111

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 James Abel's NPI number?

The NPI number for James Abel is 1376729244. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is James Abel located?

James Abel practices at 1228 Country Club Rd Suite 800, Fairmont, WV 26554. The listed phone number is (304) 367-7100.

What is James Abel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Abel enrolled in Medicare?

Yes. James Abel is registered in the Medicare PECOS enrollment system.

What insurance does James Abel accept?

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

According to CMS data, James Abel is affiliated with United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for James Abel was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.