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DR. SUZANNE LEE GHARIB MD
NPI 1386851988
Internal Medicine - Rheumatology in South Charleston, WV

Active since May 16, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4610 KANAWHA AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309(304) 720-8701(304) 720-8702 Get Directions Write a Review

NPPES record last updated: January 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Suzanne Lee Gharib Md NPPES

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

DR. SUZANNE LEE GHARIB MD (NPI 1386851988) is an individual rheumatology provider in South Charleston, West Virginia, licensed in West Virginia (23211) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1386851988
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. SUZANNE LEE GHARIBCredential: MD
Location Address4610 KANAWHA AVE SW, SUITE 301South Charleston, WV 25309
Mailing Address4610 Kanawha Ave Sw, Suite 301South Charleston, WV 25309-1367 · (304) 720-8701 · Fax (304) 720-8702
Phone(304) 720-8701
Fax(304) 720-8702
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2003
Enumeration DateMay 16, 2007
Last NPPES UpdateJanuary 8, 2019
✔ NPI 1386851988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WV · 23211
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4610 KANAWHA AVE SW, South Charleston, WV 25309
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Mon Health Medical Park Dr Ste 1104Morgantown, WV 26505-1143 · Phone (304) 598-7296

Other Identifiers 1

Medicaid3910000444WV

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

Dr. Suzanne Lee Gharib 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 ID1052488509
PECOS Enrollment IDI20080924000677
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

4

Medicare enrollment records show Suzanne Gharib reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rheumatology Group, PLLC
Same address
Rheumatology
4610 KANAWHA AVE SW, SUITE 301
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 4 clinicians in this Medicare group
NPI 1831536507 (304) 720-8701
Charleston Area Medical Center, Inc.
5.5 mi
General Acute Care Hospital
501 MORRIS ST
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1124248752 (304) 388-3939
Stonewall Jackson Memorial Hospital Company
82 mi
Rural
230 HOSPITAL PLZ
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1477559433 (304) 269-8000
Monongalia County General Hospital Company
110 mi
Family Medicine
800 E MAIN ST, SUITE B
Mannington, WV 26582
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group
NPI 1750785366 (304) 986-2996

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

Areas of Expertise CMS Part B claims 7

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.
390 services222 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.
148 services116 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.
32 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services13 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
14 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha 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

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number511317
Location430 Main Street, WestOak Hill, WV 25901 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,425 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
17%103 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
95%1,047 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%28 patients
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 10

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

JOHNNA MCKENZIE BALL PHARMD
Pharmacist
4610 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 741-8638
DR. MICHAEL A ISTFAN MD
Internal Medicine (Rheumatology)
4610 KANAWHA AVE SW, SUITE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 720-8701
DR. THOMAS WILLIAM HOWARD II MD
Internal Medicine (Rheumatology)
4610 KANAWHA AVE SW, SUITE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 720-8701
LESA ADKINS FNP-BC
Nurse Practitioner (Family)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
DR. DAVID JUDY D.O.
Dermatology (MOHS-Micrographic Surgery)
4610 KANAWHA AVE SW, SUITE 302
CHARLESTON, WV 25309
Kanawha County (304) 925-7546
BECKLEY CARDIOVASCULAR SPECIALISTS INC
Internal Medicine (Interventional Cardiology)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
ELIE G GHARIB MD
Internal Medicine (Interventional Cardiology)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
MRS. MALEA JOY SMITH FNP-BC
Nurse Practitioner (Family)
4610 KANAWHA AVE SW, SW # 301
CHARLESTON, WV 25309
Kanawha County (304) 720-8701

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 Suzanne Gharib's NPI number?

The NPI number for Suzanne Gharib is 1386851988. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Suzanne Gharib located?

Suzanne Gharib practices at 4610 Kanawha Ave SW Suite 301, South Charleston, WV 25309. The listed phone number is (304) 720-8701.

What is Suzanne Gharib's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Suzanne Gharib enrolled in Medicare?

Yes. Suzanne Gharib 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 Suzanne Gharib's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Gharib reassigns Medicare benefits to 4 organizations: Rheumatology Group, PLLC (South Charleston, WV), Charleston Area Medical Center, Inc. (Charleston, WV), Stonewall Jackson Memorial Hospital Company (Weston, WV) and Monongalia County General Hospital Company (Mannington, 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 Suzanne Gharib's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Suzanne Gharib accept?

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

According to CMS data, Suzanne Gharib is affiliated with Charleston Area Medical Center, Mon Health Medical Center, Thomas Memorial Hospital, Camden Clark Medical Center and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Suzanne Gharib was last updated on January 8, 2019. 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.