MS. TAYLOR ERIN D'ETCHEVERRY PA-C
NPI 1669943890
Physician Assistant in Charleston, WV

Q: What is Taylor D'etcheverry's NPI number?

The NPI number for Taylor D'etcheverry is 1669943890. It was assigned to this individual provider in the NPPES registry on December 16, 2018. The provider is also known as Ms. Taylor E D'etcheverry.

Q: What is Taylor D'etcheverry's specialty?

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

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

3100 MACCORKLE AVE SE STE 101, CHARLESTON, WV 25304(304) 388-5395 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2025, Nov 4, 2019, Dec 16, 2018 (3 updates tracked since 2018).

On this page

About Ms. Taylor Erin D'etcheverry Pa-c NPPES

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

MS. TAYLOR ERIN D'ETCHEVERRY PA-C (NPI 1669943890) is an individual physician assistant in Charleston, West Virginia, licensed in Virginia (0110009282) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669943890

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. TAYLOR ERIN D'ETCHEVERRYCredential: PA-C

Location Address3100 MACCORKLE AVE SE STE 101Charleston, WV 25304-1215

Mailing Address3100 Maccorkle Ave Se Ste 101Charleston, WV 25304-1215 · (304) 388-5395

Phone(304) 388-5395

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 16, 2018

Last NPPES UpdateAugust 8, 20253 updates tracked since enumeration

NPPES CertifiedAugust 8, 2025

✔ NPI 1669943890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in VA · 0110009282

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.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 2268 (WV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3100 MACCORKLE AVE SE STE 101, Charleston, WV 25304

Open in Google Maps ↗

Other Names 1

Other Name (5)Ms. Taylor E D'etcheverry

Secondary Practice Locations 3

Location 120560 Southport Landing PlSmithfield, VA 23430-8116 · Phone (757) 870-1865

Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1996

Location 3600 Gresham Dr Ste 8630BNorfolk, VA 23507-1904 · Phone (757) 388-6115

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

Ms. Taylor Erin D'etcheverry 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 ID1759713605

PECOS Enrollment IDI20191114000108

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

36 services36 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

31 services31 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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.

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 18

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

ALEJANDRA VICTORIA CARDONA PEREZ MD

Internal Medicine