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MICHAEL CARNEY DO
NPI 1497856066
Emergency Medicine in Glen Dale, WV

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 WHEELING AVE, GLEN DALE, WV 26038(304) 845-3211 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2022, Jan 10, 2021, Oct 10, 2019 (3 updates tracked since 2019).

About Michael Carney Do NPPES

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

MICHAEL CARNEY DO (NPI 1497856066) is an individual emergency medicine provider in Glen Dale, West Virginia, licensed in West Virginia (1653) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1994).

NPPES Registry Identity

NPI1497856066
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL CARNEYCredential: DO
Location Address800 WHEELING AVEGlen Dale, WV 26038-1660
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (330) 493-4443 · Fax (330) 493-8677
Phone(304) 845-3211
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1994
Enumeration DateSeptember 26, 2006
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1497856066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WV · 1653✔ Licensed in OH · 34-006237
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
800 WHEELING AVE, Glen Dale, WV 26038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Michael Carney Do 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 ID9335314525
PECOS Enrollment IDI20120404000644
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
200 services186 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
80 services79 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services53 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services26 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26038 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
$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

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$21.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$119.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CODY BRAXTON LARSEN MD
Emergency Medicine
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
DR. BRANDON DANIEL WILSON M.D.
General Practice
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
REYNOLDS MEMORIAL HOSPITAL INC
Home Health
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 843-3211
LILLIAN HELEN DAVIS CRNP
Nurse Practitioner (Family)
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 843-3313
BRAYLYNN DIANE CLARK APRN
Emergency Medicine
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
DR. JOSEPH MATTHEW PALUMBO DO
Emergency Medicine
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
PROACTIVE OCCUPATIONAL MEDICINE, INC.
Clinic/Center (Occupational Medicine)
800 WHEELING AVE, SUITE 1W
GLEN DALE, WV 26038
Marshall County (740) 961-8275
DR. BROC JONES PHARMD
Pharmacist
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 843-3218

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 Michael Carney's NPI number?

The NPI number for Michael Carney is 1497856066. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Michael Carney located?

Michael Carney practices at 800 Wheeling Ave, Glen Dale, WV 26038. The listed phone number is (304) 845-3211.

What is Michael Carney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Carney enrolled in Medicare?

Yes. Michael Carney 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 Michael Carney accept?

Health plans from CareSource list Michael Carney 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 Michael Carney affiliated with any hospitals?

According to CMS data, Michael Carney is affiliated with Reynolds Memorial Hospital and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Michael Carney was last updated on April 6, 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.