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TINA L WAUGH APRN
NPI 1639693468
Nurse Practitioner - Primary Care in Paw Paw, WV

Active since August 02, 2017PECOS EnrolledAccepts Medicare Assignment
783 WINCHESTER ST, PAW PAW, WV 25434(304) 947-5500(304) 947-5563 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina L Waugh Aprn NPPES

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

TINA L WAUGH APRN (NPI 1639693468) is an individual primary care provider in Paw Paw, West Virginia, licensed in West Virginia (APRN94035-NP-C) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1639693468
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTINA L WAUGHCredential: APRN
Location Address783 WINCHESTER STPaw Paw, WV 25434
Mailing AddressPo Box 2Paw Paw, WV 25434-0002 · (304) 947-5500 · Fax (304) 947-5563
Phone(304) 947-5500
Fax(304) 947-5563
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 2, 2017
✔ NPI 1639693468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WV · APRN94035-NP-C
783 WINCHESTER ST, Paw Paw, WV 25434
Open in Google Maps ↗

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

Tina L Waugh Aprn 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 ID3375800824
PECOS Enrollment IDI20171208000420
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 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
58 services48 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services11 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25434 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
45%150 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%296 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
33%91 patients2/55-star benchmark: 100%
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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$35.99 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.38 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 suppliers13 claims13 services$85.33 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.

MOUNTAINEER COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Ambulatory Family Planning Facility)
783 WINCHESTER ST
PAW PAW, WV 25434
Morgan County (304) 947-5500
CHERI KAY SESSIONS
Physical Therapist
783 WINCHESTER ST
PAW PAW, WV 25434
Morgan County (304) 947-5500
HEATHER EMILY WILLEY APRN
Nurse Practitioner (Family)
783 WINCHESTER ST
PAW PAW, WV 25434
Morgan County (304) 947-5500
KELSI MAY RN, FNP-C
Nurse Practitioner (Family)
783 WINCHESTER ST
PAW PAW, WV 25434
Morgan County (304) 947-5500

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 Tina Waugh's NPI number?

The NPI number for Tina Waugh is 1639693468. It was assigned to this individual provider in the NPPES registry on August 2, 2017.

Where is Tina Waugh located?

Tina Waugh practices at 783 Winchester St, Paw Paw, WV 25434. The listed phone number is (304) 947-5500.

What is Tina Waugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tina Waugh enrolled in Medicare?

Yes. Tina Waugh 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 Tina Waugh accept?

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

According to CMS data, Tina Waugh is affiliated with Winchester Medical Center and Valley Health War Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tina Waugh was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.