DR. JOHN A DELUCA M.D.
NPI 1407942345
Surgery in Charleston, WV
About Dr. John A Deluca M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN A DELUCA M.D. (NPI 1407942345) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (17201) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. John A Deluca 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.
Medicare Billing Reassignments
3Medicare enrollment records show John Deluca reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, WV 25301
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
South Charleston, WV 25309
- Reassigned Medicare billing, West Virginia enrollment
- 466 clinicians in this Medicare group
Madison, WV 25130
- Reassigned Medicare billing, West Virginia enrollment
- Also billed through NPI 1639135221 (West Virginia)
- 159 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Memorial Hospital
Acute Care Hospitals · South Charleston, WVBoone Memorial Hospital
Critical Access Hospitals · Madison, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLESTON, WV 25301
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 Deluca's NPI number?
The NPI number for John Deluca is 1407942345. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is John Deluca located?
John Deluca practices at 1220 Lee St E Ste 208, Charleston, WV 25301. The listed phone number is (304) 388-7270.
What is John Deluca's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is John Deluca enrolled in Medicare?
Yes. John Deluca 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 John Deluca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Deluca reassigns Medicare benefits to 3 organizations: Charleston Area Medical Center, Inc. (Charleston, WV), Ths Physician Partners Inc (South Charleston, WV) and Boone Memorial Hospital, Inc (Madison, 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 John Deluca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Deluca accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list John Deluca 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 John Deluca affiliated with any hospitals?
According to CMS data, John Deluca is affiliated with Thomas Memorial Hospital and Boone Memorial Hospital.
When was this NPI record last updated?
The NPPES record for John Deluca was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. John A Deluca, M.D. · NPI 1407942345
Surgery physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1407942345 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 17201 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1220 LEE ST E STE 208, Charleston, WV 25301-1864
- **Phone:** (304) 388-7270 · **Fax:** (304) 388-7280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Charleston Area Medical Center, Inc. (NPI 1124248752, Charleston, WV); Ths Physician Partners Inc (NPI 1871866806, South Charleston, WV); Boone Memorial Hospital, Inc (NPI 1801039565, Madison, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** September 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407942345) · Data from the CMS NPPES public registry.