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SHANE WRISTON PA-C
NPI 1609277201
Physician Assistant - Medical in Ivydale, WV

Active since September 15, 2014PECOS EnrolledAccepts Medicare Assignment
797 CLINIC DR, IVYDALE, WV 25113(304) 286-4200(304) 286-2107 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2022, Mar 17, 2018, Jan 8, 2018 and 1 more (4 updates tracked since 2016).

About Shane Wriston Pa-c NPPES

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

SHANE WRISTON PA-C (NPI 1609277201) is an individual medical provider in Ivydale, West Virginia, licensed in West Virginia (01845) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Roane General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609277201
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSHANE WRISTONCredential: PA-C
Location Address797 CLINIC DRIvydale, WV 25113-8263
Mailing Address797 Clinic DrIvydale, WV 25113-8263 · (304) 286-4200 · Fax (304) 286-2107
Phone(304) 286-4200
Fax(304) 286-2107
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 15, 2014
Last NPPES UpdateAugust 31, 20224 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1609277201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WV · 01845
797 CLINIC DR, Ivydale, WV 25113
Open in Google Maps ↗

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

Shane Wriston 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 ID8426371733
PECOS Enrollment IDI20141217001860
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.

Hospital Affiliations CMS Care Compare 3

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

Roane General Hospital

Critical Access Hospitals · Spencer, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511306
Location200 Hospital DriveSpencer, WV 25276 · Roane County
Emergency services

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511308
Location100 Hoylman DriveGassaway, WV 26624 · Braxton County
Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

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.

Reported Quality Measures

Breast Cancer Screening
65%207 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
56%522 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
88%376 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
67%171 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
11%171 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,685 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
85%277 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
98%574 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
45%1,672 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 885 patients
Patients screened: 100% · 885 patients
98%379 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%332 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$34.51 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
2 suppliers18 claims18 services$78.12 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 4

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

JAMI LAUGHLIN
Counselor (Professional)
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200
MRS. MICHELLE A KLUMPENHOWER MED, EDS
Case Manager/Care Coordinator
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200
CHRISTINE L JONES MD
Family Medicine
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200
COMMUNITY CARE OF WEST VIRGINIA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
797 CLINIC DR
IVYDALE, WV 25113
Clay County (304) 286-4200

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 Shane Wriston's NPI number?

The NPI number for Shane Wriston is 1609277201. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Shane Wriston located?

Shane Wriston practices at 797 Clinic Dr, Ivydale, WV 25113. The listed phone number is (304) 286-4200.

What is Shane Wriston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shane Wriston enrolled in Medicare?

Yes. Shane Wriston 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 Shane Wriston accept?

Health plans from CareSource list Shane Wriston 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 Shane Wriston affiliated with any hospitals?

According to CMS data, Shane Wriston is affiliated with Roane General Hospital, Braxton County Memorial Hospital, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Shane Wriston was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.