VINAY BADHWAR MD
NPI 1467426718
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Morgantown, WV

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 598-4800 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2022, Jan 8, 2021 (2 updates tracked since 2021).

About Vinay Badhwar Md NPPES

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

VINAY BADHWAR MD (NPI 1467426718) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Morgantown, West Virginia, licensed in West Virginia (27008) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1467426718
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameVINAY BADHWARCredential: MD
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506-1200
Mailing Address1 Medical Center DriveMorgantown, WV 26506-1200 · (304) 598-4800
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 8, 20222 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1467426718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in WV · 27008 Licensed in PA · MD444207 Licensed in FL · ME85670
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506

Other Identifiers 9

Other284915FL · Avmed
Other202337FL · Wellcare
Other2221703FL · United
Other3306888FL · Aetna
Medicaid265720100FL
Other134223953FL · Humana
Other202337FL · Staywell
Other62904FL · Bcbs
Other0843074FL · Cigna

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

Vinay Badhwar 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 ID6002951001
PECOS Enrollment IDI20160726001132
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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
33 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services20 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.
19 services17 patients
Replacement of aortic valve on heart-lung machine 33405
The aortic valve replacement on a heart-lung machine is a procedure where your faulty aortic valve is replaced with a new one. During this operation, a machine takes over the job of your heart and lungs, ensuring the blood supply to your body is maintained.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison 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
$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
$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.

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.

Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER 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 Vinay Badhwar's NPI number?

The NPI number for Vinay Badhwar is 1467426718. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Vinay Badhwar located?

Vinay Badhwar practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4800.

What is Vinay Badhwar's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Vinay Badhwar enrolled in Medicare?

Yes. Vinay Badhwar 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 Vinay Badhwar accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Vinay Badhwar 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 Vinay Badhwar affiliated with any hospitals?

According to CMS data, Vinay Badhwar is affiliated with West Virginia University Hospitals, Inc and United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Vinay Badhwar was last updated on April 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.