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MR. JERRY A. QUISENBERRY PA-C
NPI 1639111768
Physician Assistant in Madison, WV

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
471 MAIN ST, MADISON, WV 25130(304) 369-5170(304) 369-0946 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Jerry A. Quisenberry Pa-c NPPES

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

MR. JERRY A. QUISENBERRY PA-C (NPI 1639111768) is an individual physician assistant in Madison, West Virginia, licensed in West Virginia (867) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1639111768
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JERRY A. QUISENBERRYCredential: PA-C
Location Address471 MAIN STMadison, WV 25130-1223
Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5885
Phone(304) 369-5170
Fax(304) 369-0946
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 12, 2018
✔ NPI 1639111768 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 · 867
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.
471 MAIN ST, Madison, WV 25130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Mr. Jerry A. Quisenberry 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 ID8628006145
PECOS Enrollment IDI20050727000178
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.

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25130 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers17 claims35 services$6.21 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 5

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

POLLY NICOLE ANDERSON PHARM D
Pharmacist
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170
DR. CODY S COFFMAN PHARMD.
Pharmacist
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170
LINCOLN COUNTY PRIMARY CARE CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170
LINCOLN COUNTY PRIMARY CARE CENTER INC
Pharmacy (Community/Retail Pharmacy)
471 MAIN ST
MADISON, WV 25130
Boone County (304) 807-9208
RONNY D STOLLINGS MD
Internal Medicine
471 MAIN ST
MADISON, WV 25130
Boone County (304) 369-5170

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 Jerry Quisenberry's NPI number?

The NPI number for Jerry Quisenberry is 1639111768. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jerry Quisenberry located?

Jerry Quisenberry practices at 471 Main St, Madison, WV 25130. The listed phone number is (304) 369-5170.

What is Jerry Quisenberry's specialty?

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

Is Jerry Quisenberry enrolled in Medicare?

Yes. Jerry Quisenberry 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 Jerry Quisenberry accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Jerry Quisenberry 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 Jerry Quisenberry affiliated with any hospitals?

According to CMS data, Jerry Quisenberry is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jerry Quisenberry was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.