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DR. JOSHUA ZEGEER MD
NPI 1679194849
Internal Medicine in South Charleston, WV

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3600(304) 766-3257 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Joshua Zegeer Md NPPES

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

DR. JOSHUA ZEGEER MD (NPI 1679194849) is an individual internal medicine provider in South Charleston, West Virginia, licensed in West Virginia (33038) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of West Virginia University School Of Medicine (2020).

NPPES Registry Identity

NPI1679194849
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOSHUA ZEGEERCredential: MD
Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311
Mailing Address4605 Maccorkle Ave SwSouth Charleston, WV 25309-1311 · (304) 766-3600 · Fax (304) 766-3257
Phone(304) 766-3600
Fax(304) 766-3257
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2020
Enumeration DateApril 29, 2020
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1679194849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 33038
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4605 MACCORKLE AVE SW, South Charleston, WV 25309
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joshua Zegeer Md 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 ID5799109898
PECOS Enrollment IDI20231108004050
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Joshua Zegeer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ths Physician Partners Inc
Same address
Internal Medicine
4605 MACCORKLE AVE SW
South Charleston, WV 25309
  • Reassigned Medicare billing, West Virginia enrollment
  • 466 clinicians in this Medicare group
NPI 1871866806 (304) 414-4800
United Physicians Care Inc
56 mi
Family Medicine
626 ELK ST
Gassaway, WV 26624
  • Reassigned Medicare billing, West Virginia enrollment
  • 178 clinicians in this Medicare group
NPI 1548338536 (304) 364-2401

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
139 services134 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.
29 services28 patients

Hospital Affiliations CMS Care Compare 5

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison 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

Montgomery General Hospital, Inc

Critical Access Hospitals · Montgomery, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511318
Location401 Sixth AvenueMontgomery, WV 25136 · Fayette County
Emergency services

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DUSTIN CRITES
Physician Assistant
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3601
MEAGAN EILEEN PARSONS RN
Registered Nurse (Perinatal)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 687-5700
MRS. JULIE V GUIDRY PT
Physical Therapist
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3589
MR. GENO ANTHONY SANTANGELO JR. P.A.-C
Physician Assistant (Surgical)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 389-7914
ROBERT ROMAINE MD
Family Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3601
EMILY HOLBERT DNAP, CRNA
Nurse Anesthetist, Certified Registered
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3600
MR. JOSEPH TYLER NESBITT FNP
Nurse Practitioner (Family)
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 766-3600
HOSPITALIST MEDICINE PHYSICIANS OF KANAWHA COUNTY, PLLC
Internal Medicine
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (330) 493-4443

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 Joshua Zegeer's NPI number?

The NPI number for Joshua Zegeer is 1679194849. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Joshua Zegeer located?

Joshua Zegeer practices at 4605 Maccorkle Ave SW, South Charleston, WV 25309. The listed phone number is (304) 766-3600.

What is Joshua Zegeer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Zegeer enrolled in Medicare?

Yes. Joshua Zegeer 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.

Which organizations bill Medicare for Joshua Zegeer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Zegeer reassigns Medicare benefits to 2 organizations: Ths Physician Partners Inc (South Charleston, WV) and United Physicians Care Inc (Gassaway, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Zegeer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Zegeer accept?

Health plans from CareSource list Joshua Zegeer 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 Joshua Zegeer affiliated with any hospitals?

According to CMS data, Joshua Zegeer is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Thomas Memorial Hospital, Montgomery General Hospital, Inc and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joshua Zegeer was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.