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

Q: 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.

Q: What is Andrew Berardinelli's specialty?

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

Active since May 20, 2014PECOS Enrolled

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: October 25, 2026.

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

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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 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

Phone(304) 265-0400

Sole ProprietorNo

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

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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

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 (PECOS)

Andrew J Berardinelli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Andrew Berardinelli reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grafton City Hospital Inc

Same address

General Practice

1 HOSPITAL PLZ
Grafton, WV 26354

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

NPI 1033264387 (304) 265-7406

Mon Health Marion Neighborhood Hospital, Inc.

11 mi

Hospitalist

140 MIDDLETOWN LOOP
White Hall, WV 26554

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

NPI 1417521337 (304) 333-1150

Preston Memorial Hospital Corporation

20 mi

Critical Access

150 MEMORIAL DR
Kingwood, WV 26537

Reassigned Medicare billing, West Virginia enrollment
Also billed through NPI 1841230661 (West Virginia)
112 clinicians in this Medicare group

NPI 1013950054 (304) 329-1400

Monongalia County General Hospital Company

22 mi

Family Medicine

800 E MAIN ST, SUITE B
Mannington, WV 26582

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

NPI 1750785366 (304) 986-2996

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.

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

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.

DR. THOMAS F WILSHIRE III D.O.

Family Medicine