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DANNEL KARL PETGRAVE PHD
NPI 1457892705
Psychologist - Clinical in Dawes, WV

Active since March 19, 2017PECOS Enrolled
95.31/100
CMS Quality Rating
5722 CABIN CREEK RD, DAWES, WV 25054(304) 734-2040 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2020, Nov 12, 2019, Aug 22, 2018 and 2 more (5 updates tracked since 2017).

About Dannel Karl Petgrave Phd NPPES

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

DANNEL KARL PETGRAVE PHD (NPI 1457892705) is an individual clinical provider in Dawes, West Virginia, licensed in West Virginia (1243) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1457892705
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDANNEL KARL PETGRAVECredential: PHD
Location Address5722 CABIN CREEK RDDawes, WV 25054
Mailing Address5722 Cabin Creek RdDawes, WV 25054-7700
Phone(304) 734-2040
Sole ProprietorNo
Enumeration DateMarch 19, 2017
Last NPPES UpdateMay 21, 20205 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
✔ NPI 1457892705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WV · 1243
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5722 CABIN CREEK RD, Dawes, WV 25054
Open in Google Maps ↗

Secondary Practice Location 1

Location 12018 Western AveKnoxville, TN 37921 · Phone (865) 544-0406

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dannel Karl Petgrave Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Dannel Petgrave reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cabin Creek Health Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
ROUTE 79
Dawes, WV 25054
  • Reassigned Medicare billing, West Virginia enrollment
  • 74 clinicians in this Medicare group
NPI 1366495525 (304) 734-2040
Columbus Behavioral Health, LLC
159 mi
Clinical
115 COMMERCE PARK DR
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group
NPI 1144763574 (614) 360-2600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25054 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
$164.59 typical visit price
range $53.20 – $164.59
Typical copayment $41.14 (range $13.30 – $41.14)
Most-billed visit code 99205
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

KELLI JO HUPP FNP-C
Nurse Practitioner (Family)
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
DR. CHARLES H.M. JACQUES M.D.
Family Medicine
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
ALLISON WEISS
Nurse Practitioner (Family)
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
SARAH HANSEN FNP
Nurse Practitioner (Adult Health)
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
ALEXANDRA RITCHIE
Nurse Practitioner (Family)
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
LILY ELIZA SMITH
Nurse Practitioner (Family)
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
ALLISON NICOLE POZEGA
Nurse Practitioner (Family)
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 595-5006
CABIN CREEK HEALTH CENTER LAB
Family Medicine
5722 CABIN CREEK RD
DAWES, WV 25054
Kanawha County (304) 734-2040

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 Dannel Petgrave's NPI number?

The NPI number for Dannel Petgrave is 1457892705. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is Dannel Petgrave located?

Dannel Petgrave practices at 5722 Cabin Creek Rd, Dawes, WV 25054. The listed phone number is (304) 734-2040.

What is Dannel Petgrave's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dannel Petgrave enrolled in Medicare?

Yes. Dannel Petgrave is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dannel Petgrave's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dannel Petgrave reassigns Medicare benefits to 2 organizations: Cabin Creek Health Center, Inc. (Dawes, WV) and Columbus Behavioral Health, LLC (Westerville, OH). 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 Dannel Petgrave's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dannel Petgrave accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Dannel Petgrave 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 Dannel Petgrave 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.