ANDREW J BERARDINELLI MD
NPI 1730591124
Family Medicine in Grafton, WV

Active since May 20, 2014PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL PLZ, GRAFTON, WV 26354(304) 265-0400 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2024, Dec 6, 2024, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

About Andrew J Berardinelli Md NPPES

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

ANDREW J BERARDINELLI MD (NPI 1730591124) is an individual family medicine provider in Grafton, West Virginia, licensed in West Virginia (27634) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730591124
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW J BERARDINELLICredential: MD
Location Address1 HOSPITAL PLZGrafton, WV 26354-1283
Mailing Address1 Hospital PlzGrafton, WV 26354-1283 · (304) 265-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 20, 2014
Last NPPES UpdateDecember 9, 20245 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1730591124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 27634
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1 HOSPITAL PLZ, Grafton, WV 26354

Secondary Practice Locations 3

Location 1140 Middletown LoopFairmont, WV 26554-8701 · Phone (304) 333-1150
Location 21200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200
Location 3150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-1400

Accepted 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

Andrew J Berardinelli 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 ID4981821634
PECOS Enrollment IDI20170929002054
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 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.

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.
29 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26354 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier11 claims88 services$2.51 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.35 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.17 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims425 services$0.20 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims275 services$0.19 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.

Family Medicine
1 HOSPITAL PLZ
GRAFTON, WV 26354
General Practice
1 HOSPITAL PLZ
GRAFTON, WV 26354
Social Worker (Clinical)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Physician Assistant (Medical)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Physician Assistant
1 HOSPITAL PLZ
GRAFTON, WV 26354
General Acute Care Hospital (Critical Access)
1 HOSPITAL PLZ
GRAFTON, WV 26354
Orthopaedic Surgery
1 HOSPITAL PLZ
GRAFTON, WV 26354
Family Medicine
1 HOSPITAL PLZ
GRAFTON, WV 26354

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 Andrew Berardinelli's NPI number?

The NPI number for Andrew Berardinelli is 1730591124. It was assigned to this individual provider in the NPPES registry on May 20, 2014.

Where is Andrew Berardinelli located?

Andrew Berardinelli practices at 1 Hospital Plz, Grafton, WV 26354. The listed phone number is (304) 265-0400.

What is Andrew Berardinelli's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Berardinelli enrolled in Medicare?

Yes. Andrew Berardinelli 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 Andrew Berardinelli accept?

Health plans from CareSource list Andrew Berardinelli 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 Andrew Berardinelli affiliated with any hospitals?

According to CMS data, Andrew Berardinelli is affiliated with Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Berardinelli was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.