DR. DONALD TA M.D.
NPI 1376812008
Pediatrics in Clendenin, WV

Active since December 27, 2011PECOS EnrolledAccepts Medicare Assignment
107 KOONTZ AVE, CLENDENIN, WV 25045(304) 548-7272(304) 548-7149 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2020, Aug 20, 2016 (2 updates tracked since 2016).

About Dr. Donald Ta M.d. NPPES

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

DR. DONALD TA M.D. (NPI 1376812008) is an individual pediatrics provider in Clendenin, West Virginia, licensed in West Virginia (27153) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (2011).

NPPES Registry Identity

NPI1376812008
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DONALD TACredential: M.D.
Location Address107 KOONTZ AVEClendenin, WV 25045-9578
Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047
Fax(304) 548-7149
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2011
Enumeration DateDecember 27, 2011
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
NPI 1376812008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WV · 27153
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
107 KOONTZ AVE, Clendenin, WV 25045

Accepted 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

Dr. Donald Ta 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 ID5597043281
PECOS Enrollment IDI20161101000426
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25045 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.

Other Providers at the Same Location NPPES 6

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

Pharmacist
107 KOONTZ AVE
CLENDENIN, WV 25045
Pharmacy (Community/Retail Pharmacy)
107 KOONTZ AVE
CLENDENIN, WV 25045
Psychologist
107 KOONTZ AVE
CLENDENIN, WV 25045
Psychologist
107 KOONTZ AVE
CLENDENIN, WV 25045
Internal Medicine
107 KOONTZ AVE
CLENDENIN, WV 25045
Nurse Practitioner (Family)
107 KOONTZ AVE
CLENDENIN, WV 25045

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 Donald Ta's NPI number?

The NPI number for Donald Ta is 1376812008. It was assigned to this individual provider in the NPPES registry on December 27, 2011.

Where is Donald Ta located?

Donald Ta practices at 107 Koontz Ave, Clendenin, WV 25045. The listed phone number is (304) 548-7272.

What is Donald Ta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donald Ta enrolled in Medicare?

Yes. Donald Ta 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 Donald Ta accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Donald Ta 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 Donald Ta was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.