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LISA M SKINNER M.D.
NPI 1720042518
Obstetrics & Gynecology - Gynecology in Madison, WV

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
660A S MAIN ST, MADISON, WV 25130(304) 369-1230(304) 606-6135 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2025, Aug 16, 2024, Nov 2, 2021 and 2 more (5 updates tracked since 2020).

About Lisa M Skinner M.d. NPPES

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

LISA M SKINNER M.D. (NPI 1720042518) is an individual gynecology provider in Madison, West Virginia, licensed in West Virginia (18105) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (1993).

NPPES Registry Identity

NPI1720042518
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameLISA M SKINNERCredential: M.D.
Location Address660A S MAIN STMadison, WV 25130-1245
Mailing Address701 Madison AveMadison, WV 25130-1699 · (304) 369-1230 · Fax (304) 369-6036
Phone(304) 369-1230
Fax(304) 606-6135
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1993
Enumeration DateApril 17, 2006
Last NPPES UpdateMay 7, 20255 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1720042518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in WV · 18105
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
660A S MAIN ST, Madison, WV 25130
Open in Google Maps ↗

Other Names 1

Former Name (1)Lisa M. Breeding Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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

Lisa M Skinner 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 ID6406747765
PECOS Enrollment IDI20040324000790, I20180928002561
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

6

Medicare enrollment records show Lisa Skinner reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Boone Memorial Hospital, Inc
Same address
Rural Health
660A S MAIN ST
Madison, WV 25130
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1639135221 (West Virginia)
  • 159 clinicians in this Medicare group
NPI 1801039565 (304) 369-4250
Charleston Surgical Hospital Healthcare Group, PLLC
22 mi
Surgery
1306 KANAWHA BLVD E
Charleston, WV 25301
  • Reassigned Medicare billing, West Virginia enrollment
  • 5 clinicians in this Medicare group
NPI 1285131144 (304) 343-4371
Appalachian Regional Healthcare, Inc.
37 mi
Anatomic Pathology & Clinical Pathology
260 HOSPITAL DR
South Williamson, KY 41503
  • Reassigned Medicare billing, West Virginia enrollment
  • 108 clinicians in this Medicare group
NPI 1679658199 (606) 237-1700
Three Rivers Medical Clinics Inc
43 mi
Internal Medicine
HWY 644, TRM PLAZA
Louisa, KY 41230
  • Reassigned Medicare billing, West Virginia enrollment
  • 8 clinicians in this Medicare group
NPI 1568567345 (606) 638-1154
City Hospital Inc
229 mi
Anesthesiology
880 N TENNESSEE AVE STE 104
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 231 clinicians in this Medicare group
NPI 1942503164 (304) 596-5160
Jefferson Memorial Hospital
231 mi
Internal Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 110 clinicians in this Medicare group
NPI 1316364953 (304) 728-1669

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

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

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

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 25130 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
$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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

MR. NICHOLAS C VANCE PA-C
Physician Assistant
660A S MAIN ST
MADISON, WV 25130
Boone County (304) 369-4250
MRS. RACHAEL ALYSSA RIGGINS MSN, APRN, FNP-C
Nurse Practitioner
660A S MAIN ST
MADISON, WV 25130
Boone County (304) 369-4250
BOONE MEMORIAL HOSPITAL, INC
Clinic/Center (Rural Health)
660A S MAIN ST
MADISON, WV 25130
Boone County (304) 369-4250
NICHOLAS LEE SMITH PHYSICIAN ASSISTANT
Physician Assistant
660A S MAIN ST
MADISON, WV 25130
Boone County (304) 369-1230

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 Lisa Skinner's NPI number?

The NPI number for Lisa Skinner is 1720042518. It was assigned to this individual provider in the NPPES registry on April 17, 2006. The provider is also known as Lisa M. Breeding MD.

Where is Lisa Skinner located?

Lisa Skinner practices at 660A S Main St, Madison, WV 25130. The listed phone number is (304) 369-1230.

What is Lisa Skinner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Lisa Skinner enrolled in Medicare?

Yes. Lisa Skinner 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 Lisa Skinner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Skinner reassigns Medicare benefits to 6 organizations: Boone Memorial Hospital, Inc (Madison, WV), Charleston Surgical Hospital Healthcare Group, PLLC (Charleston, WV), Appalachian Regional Healthcare, Inc. (South Williamson, KY), Three Rivers Medical Clinics Inc (Louisa, KY), City Hospital Inc (Martinsburg, WV) and 1 more organization, listed in the Medicare section above. 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 Lisa Skinner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Skinner accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Lisa Skinner 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 Lisa Skinner affiliated with any hospitals?

According to CMS data, Lisa Skinner is affiliated with Berkeley Medical Center, Charleston Area Medical Center, Boone Memorial Hospital and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Skinner was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.