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KRISTINIA MACIUNAS M.D.
NPI 1669474755
Family Medicine in Shepherdstown, WV

Active since June 02, 2005PECOS EnrolledAccepts Medicare Assignment
207 SOUTH PRINCESS STREET, SHEPHERDSTOWN, WV 25443(304) 261-0313 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristinia Maciunas M.d. NPPES

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

KRISTINIA MACIUNAS M.D. (NPI 1669474755) is an individual family medicine provider in Shepherdstown, West Virginia, licensed in West Virginia (14514) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (1992).

NPPES Registry Identity

NPI1669474755
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTINIA MACIUNASCredential: M.D.
Location Address207 SOUTH PRINCESS STREETShepherdstown, WV 25443
Mailing AddressPo Box 1683Shepherdstown, WV 25443-1683 · (304) 261-0313 · Fax (304) 876-2001
Phone(304) 261-0313
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1992
Enumeration DateJune 2, 2005
Last NPPES UpdateApril 17, 2015
✔ NPI 1669474755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 14514
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
207 SOUTH PRINCESS STREET, Shepherdstown, WV 25443
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Other Identifiers 2

Medicare UPING12060WV
Medicaid0045551000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Kristinia Maciunas M.d. 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 ID6608891932
PECOS Enrollment IDI20051006000075
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25443 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.

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 Kristinia Maciunas's NPI number?

The NPI number for Kristinia Maciunas is 1669474755. It was assigned to this individual provider in the NPPES registry on June 2, 2005.

Where is Kristinia Maciunas located?

Kristinia Maciunas practices at 207 South Princess Street, Shepherdstown, WV 25443. The listed phone number is (304) 261-0313.

What is Kristinia Maciunas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristinia Maciunas enrolled in Medicare?

Yes. Kristinia Maciunas 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 Kristinia Maciunas accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Kristinia Maciunas 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 Kristinia Maciunas affiliated with any hospitals?

According to CMS data, Kristinia Maciunas is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Kristinia Maciunas was last updated on April 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.