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DR. COLLIN C JOHN M.D.
NPI 1720284540
Pediatrics in Morgantown, WV

Active since June 27, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 598-4000 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2022, Jan 6, 2021, Oct 17, 2020 (3 updates tracked since 2020).

About Dr. Collin C John M.d. NPPES

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

DR. COLLIN C JOHN M.D. (NPI 1720284540) is an individual pediatrics provider in Morgantown, West Virginia, licensed in West Virginia (23670) and active in the NPI registry since June 2007. 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 (2007).

NPPES Registry Identity

NPI1720284540
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. COLLIN C JOHNCredential: M.D.
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 285-7101
Phone(304) 598-4000
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2007
Enumeration DateJune 27, 2007
Last NPPES UpdateApril 13, 20223 updates tracked since enumeration
NPPES CertifiedApril 13, 2022
✔ NPI 1720284540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 23670
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 23670 (WV)
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506
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Other Identifiers 1

Medicaid3810020651WV

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Collin C John 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 ID1759551039
PECOS Enrollment IDI20110823001069
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
42 services21 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.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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.

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

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$19.06 avg. paid by Medicare
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
2 suppliers19 claims19 services$105.66 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$29.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DORIAN J WILLIAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
MEGHAN METCALFE PT
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4118
MRS. HOLLY BETH HARTMAN-ADAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
DR. SWAPNA GAYAM M.D
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 293-4123
DR. JAMES ROBERT WELTY M.D.
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ANDREW VUCELIK MD
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Monongalia County (304) 293-7215
RYAN CODDINGTON TURNER M.D., PH.D.
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Monongalia County (304) 293-5041
PENNY CULLEY RN
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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 Collin John's NPI number?

The NPI number for Collin John is 1720284540. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Collin John located?

Collin John practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 598-4000.

What is Collin John's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Collin John enrolled in Medicare?

Yes. Collin John 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.

What insurance does Collin John accept?

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

According to CMS data, Collin John is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Collin John was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.