COURTNEY STRUTHERS M.D.
NPI 1720082605
Internal Medicine in Martinsburg, WV

Q: What is Courtney Struthers's NPI number?

The NPI number for Courtney Struthers is 1720082605. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Courtney Struthers's specialty?

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

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment

99 TAVERN RD, MARTINSBURG, WV 25401(304) 263-4999 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2022, Jan 8, 2021 (2 updates tracked since 2021).

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About Courtney Struthers M.d. NPPES

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

COURTNEY STRUTHERS M.D. (NPI 1720082605) is an individual internal medicine provider in Martinsburg, West Virginia, licensed in West Virginia (19085) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of West Virginia University School Of Medicine (1993).

NPPES Registry Identity

NPI1720082605

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameCOURTNEY STRUTHERSCredential: M.D.

Location Address99 TAVERN RDMartinsburg, WV 25401-2890

Mailing AddressPo Box 1146Martinsburg, WV 25402-1146 · (304) 263-4999

Phone(304) 263-4999

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1993

Enumeration DateJune 9, 2005

Last NPPES UpdateApril 7, 20222 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1720082605 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 · 19085

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.

99 TAVERN RD, Martinsburg, WV 25401

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Other Identifiers 1

Medicaid0080750000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Courtney Struthers 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 ID2264569847

PECOS Enrollment IDI20100430000333

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

Medicare enrollment records show Courtney Struthers reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Healthcare Physicians Inc

0.8 mi

Anesthesiology

2500 FOUNDATION WAY
Martinsburg, WV 25401

Reassigned Medicare billing, West Virginia enrollment
208 clinicians in this Medicare group

NPI 1417371329 (304) 264-9202

University Hematology And Oncology

0.8 mi

Clinical Medical Laboratory

2008 PROFESSIONAL CT
Martinsburg, WV 25401

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: West Virginia University Medical Corporation
2,471 clinicians in this Medicare group

NPI 1306125612 (304) 293-7401

Hospitalist Medicine Physicians Of West Virginia, PLLC

152 mi

Internal Medicine

2000 EOFF ST
Wheeling, WV 26003

Reassigned Medicare billing, West Virginia enrollment
193 clinicians in this Medicare group

NPI 1649575101 (304) 234-0123

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 6

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 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.

596 services303 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.

306 services199 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

280 services280 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

20 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

12 services12 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

97%31 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 20

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers54 claims122 services$5.76 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers24 claims34 services$0.98 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407

DME-Orthotic Devices · category DF010N

3 suppliers13 claims215 services$8.19 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030