JOHN E CAMPBELL MD
NPI 1427213636
Surgery - Vascular Surgery in Charleston, WV

Active since July 28, 2008PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1201 WASHINGTON ST E, CHARLESTON, WV 25301(304) 347-1296(304) 347-1394 Get Directions Write a Review

NPPES record last updated: September 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John E Campbell Md NPPES

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

JOHN E CAMPBELL MD (NPI 1427213636) is an individual vascular surgery provider in Charleston, West Virginia, licensed in West Virginia (22654) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2003).

NPPES Registry Identity

NPI1427213636
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameJOHN E CAMPBELLCredential: MD
Location Address1201 WASHINGTON ST ECharleston, WV 25301-1834
Mailing AddressPo Box 7000Morgantown, WV 26507-7000 · (304) 293-5033 · Fax (304) 293-6963
Fax(304) 347-1394
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2003
Enumeration DateJuly 28, 2008
Last NPPES UpdateSeptember 20, 2008
NPI 1427213636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in WV · 22654
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedInternal MedicineTaxonomy 207R00000X · License 22654 (WV)
1201 WASHINGTON ST E, Charleston, WV 25301

Other Identifiers 2

Medicaid3810012656WV
Medicare PINCA6037361WV

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

John E Campbell 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 ID8022183953
PECOS Enrollment IDI20080812000517
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 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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
30 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services22 patients
Review by radiologist of arm or leg artery image 75710
This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.
21 services18 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.
17 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

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

Physician 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.

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
$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.

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

Other Providers at the Same Location NPPES 14

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

Clinical Medical Laboratory
1201 WASHINGTON ST E, SUITE 100
CHARLESTON, WV 25301
Family Medicine
1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301
Nurse Anesthetist, Certified Registered
1201 WASHINGTON ST E
CHARLESTON, WV 25301
Urology
1201 WASHINGTON ST E, SUITE 105
CHARLESTON, WV 25301
Clinical Medical Laboratory
1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301
Family Medicine
1201 WASHINGTON ST E, SUITE 108
CHARLESTON, WV 25301
Urology
1201 WASHINGTON ST E, SUITE 105
CHARLESTON, WV 25301
Pharmacist
1201 WASHINGTON ST E, SUITE 108
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 Campbell's NPI number?

The NPI number for John Campbell is 1427213636. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is John Campbell located?

John Campbell practices at 1201 Washington St E, Charleston, WV 25301. The listed phone number is (304) 347-1296.

What is John Campbell's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is John Campbell enrolled in Medicare?

Yes. John Campbell 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 John Campbell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list John Campbell 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 Campbell affiliated with any hospitals?

According to CMS data, John Campbell is affiliated with Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Campbell was last updated on September 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.