DR. BENJAMIN D MOOREHEAD M.D.
NPI 1437221322
Internal Medicine in Morgantown, WV

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 18, 2022, Dec 31, 2020, Oct 17, 2020 (3 updates tracked since 2020).

About Dr. Benjamin D Moorehead M.d. NPPES

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

DR. BENJAMIN D MOOREHEAD M.D. (NPI 1437221322) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (22568) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1437221322
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BENJAMIN D MOOREHEADCredential: M.D.
Location Address1 STADIUM DRIVEMorgantown, WV 26506
Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
NPI 1437221322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WV · 22568
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X · License 22568 (WV)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 22568 (WV)
1 STADIUM DRIVE, Morgantown, WV 26506

Other Identifiers 3

OtherCA7030WV · Railroad Medicare Group
OtherP00623110WV · Railroad Medicare
Medicaid3810006843WV

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. Benjamin D Moorehead 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 ID8820096027
PECOS Enrollment IDI20061127000000
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 5

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.

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.
187 services101 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.
154 services110 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
51 services51 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.
33 services26 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Ophthalmology
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Occupational Therapist
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Gastroenterology)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Pulmonary Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Geriatric Medicine)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Hematology & Oncology)
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Cardiovascular Disease)
1 STADIUM DRIVE
MORGANTOWN, WV 26506

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 Benjamin Moorehead's NPI number?

The NPI number for Benjamin Moorehead is 1437221322. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Benjamin Moorehead located?

Benjamin Moorehead practices at 1 Stadium Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is Benjamin Moorehead's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Benjamin Moorehead enrolled in Medicare?

Yes. Benjamin Moorehead 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 Benjamin Moorehead accept?

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

According to CMS data, Benjamin Moorehead is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Benjamin Moorehead was last updated on April 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.