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MR. MICHAEL R GREGORY DO
NPI 1689656175
Emergency Medicine in Jane Lew, WV

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
533 HACKERS CREEK ROAD, JANE LEW, WV 26378(304) 884-8941(304) 884-8943 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Michael R Gregory Do NPPES

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

MR. MICHAEL R GREGORY DO (NPI 1689656175) is an individual emergency medicine provider in Jane Lew, West Virginia, licensed in West Virginia (1554) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1689656175
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. MICHAEL R GREGORYCredential: DO
Location Address533 HACKERS CREEK ROADJane Lew, WV 26378-8394
Mailing Address230 Hospital PlazaWeston, WV 26452 · (304) 269-8000 · Fax (304) 269-8090
Phone(304) 884-8941
Fax(304) 884-8943
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1995
Enumeration DateNovember 18, 2005
Last NPPES UpdateMarch 4, 2008
✔ NPI 1689656175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 1554
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 1554 (WV)
533 HACKERS CREEK ROAD, Jane Lew, WV 26378
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Other Identifiers 3

Medicare PINGR7335501WV
Medicare ID-Type UnspecifiedGR7335501WV · Cms
Medicare UPING39993WV

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

Mr. Michael R Gregory Do 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 ID3779533963
PECOS Enrollment IDI20050816000826
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 Reassignment

Medicare enrollment records show Michael Gregory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stonewall Jackson Memorial Hospital Company
6.5 mi
Rural
230 HOSPITAL PLZ
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1477559433 (304) 269-8000

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 9

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
159 services134 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
96 services87 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
93 services87 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
80 services68 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.
57 services52 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Stonewall Jackson Memorial Hospital

Acute Care Hospitals · Weston, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510038
Location230 Hospital PlazaWeston, WV 26452 · Lewis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26378 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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

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
1 supplier19 claims19 services$102.35 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Gregory's NPI number?

The NPI number for Michael Gregory is 1689656175. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Michael Gregory located?

Michael Gregory practices at 533 Hackers Creek Road, Jane Lew, WV 26378. The listed phone number is (304) 884-8941.

What is Michael Gregory's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Gregory enrolled in Medicare?

Yes. Michael Gregory 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 organization bills Medicare for Michael Gregory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gregory reassigns Medicare benefits to Stonewall Jackson Memorial Hospital Company (Weston, WV). The 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 Michael Gregory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gregory accept?

Health plans from CareSource list Michael Gregory 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 Michael Gregory affiliated with any hospitals?

According to CMS data, Michael Gregory is affiliated with Mon Health Medical Center and Stonewall Jackson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gregory was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.