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MATTHEW LEE TERRY APRN-CNP
NPI 1619537834
Nurse Practitioner in Princeton, WV

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
365 COURTHOUSE RD, PRINCETON, WV 24740(304) 425-3922(304) 487-0229 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Lee Terry Aprn-cnp NPPES

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

MATTHEW LEE TERRY APRN-CNP (NPI 1619537834) is an individual nurse practitioner in Princeton, West Virginia, licensed in West Virginia (103773) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619537834
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMATTHEW LEE TERRYCredential: APRN-CNP
Location Address365 COURTHOUSE RDPrinceton, WV 24740-2431
Mailing Address365 Courthouse RdPrinceton, WV 24740-2431 · (304) 425-3922 · Fax (304) 487-0229
Phone(304) 425-3922
Fax(304) 487-0229
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 19, 2019
✔ NPI 1619537834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WV · 103773
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
365 COURTHOUSE RD, Princeton, WV 24740
Open in Google Maps ↗

Other Identifiers 1

Other103773WV · License

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

Matthew Lee Terry Aprn-cnp 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 ID5890025340
PECOS Enrollment IDI20200722003051
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 487-1778
KAYLA MICHELLE CORELL FNP-BC
Registered Nurse
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3922
CYNTHIA JO DOTSON FNP-C
Nurse Practitioner (Family)
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3922
MRS. SHELDA DAWN COX NP
Nurse Practitioner (Gerontology)
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3944
MR. DANNY HOUSTON DUNBAR JR. PA-C
Physician Assistant
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3922
CHRISTOPHER GRANT BLANKENSHIP APRN-CNP
Nurse Practitioner (Family)
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3922
MARY ANN LESTER PAC
Physician Assistant
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3922
COURTNEY JEFFERSON FNP-C
Nurse Practitioner (Family)
365 COURTHOUSE RD
PRINCETON, WV 24740
Mercer County (304) 425-3922

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 Matthew Terry's NPI number?

The NPI number for Matthew Terry is 1619537834. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Matthew Terry located?

Matthew Terry practices at 365 Courthouse Rd, Princeton, WV 24740. The listed phone number is (304) 425-3922.

What is Matthew Terry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Matthew Terry enrolled in Medicare?

Yes. Matthew Terry 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 Matthew Terry accept?

Health plans from CareSource list Matthew Terry 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 Matthew Terry affiliated with any hospitals?

According to CMS data, Matthew Terry is affiliated with Carilion Medical Center and Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Terry was last updated on June 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.