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ALEXANDER E FRANKE PA-C
NPI 1538705165
Physician Assistant in Wheeling, WV

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
101 WESTGATE DR, WHEELING, WV 26003(304) 639-8515 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2024, Sep 22, 2020, Nov 19, 2019 (3 updates tracked since 2019).

About Alexander E Franke Pa-c NPPES

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

ALEXANDER E FRANKE PA-C (NPI 1538705165) is an individual physician assistant in Wheeling, West Virginia, licensed in West Virginia (2416) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538705165
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER E FRANKECredential: PA-C
Location Address101 WESTGATE DRWheeling, WV 26003-4957
Mailing Address101 Westgate DrWheeling, WV 26003-4957 · (304) 639-8515
Phone(304) 639-8515
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 19, 2019
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1538705165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 2416
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 WESTGATE DR, Wheeling, WV 26003
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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

Alexander E Franke Pa-c 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 ID6709297096
PECOS Enrollment IDI20201117001617
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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.

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

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 Alexander Franke's NPI number?

The NPI number for Alexander Franke is 1538705165. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Alexander Franke located?

Alexander Franke practices at 101 Westgate Dr, Wheeling, WV 26003. The listed phone number is (304) 639-8515.

What is Alexander Franke's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Franke enrolled in Medicare?

Yes. Alexander Franke 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 Alexander Franke accept?

Health plans from CareSource list Alexander Franke 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 Alexander Franke affiliated with any hospitals?

According to CMS data, Alexander Franke is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Alexander Franke was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.