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DEREK DOW MD
NPI 1730766072
Emergency Medicine in Morgantown, WV

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(304) 293-2436 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2025, May 6, 2025, Mar 24, 2021 (3 updates tracked since 2021).

About Derek Dow Md NPPES

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

DEREK DOW MD (NPI 1730766072) is an individual emergency medicine provider in Morgantown, West Virginia, licensed in West Virginia (34933) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730766072
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDEREK DOWCredential: MD
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494 · (304) 598-1200
Phone(304) 293-2436
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1730766072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 34933
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 MEDICAL CENTER DR, Morgantown, WV 26506
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-1400
Location 2140 Middletown LoopFairmont, WV 26554-8701 · Phone (304) 333-1150
Location 31200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1200

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 and accepts Medicare assignment

Derek Dow 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 ID1759881949
PECOS Enrollment IDI20250822000651
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

4

Medicare enrollment records show Derek Dow reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monongalia County General Hospital Company
0.7 mi
Emergency Medicine
1200 J D ANDERSON DR
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group
NPI 1477890440 (304) 598-1200
Preston Memorial Hospital Corporation
19 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
Mon Health Marion Neighborhood Hospital, Inc.
19 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
Stonewall Jackson Memorial Hospital Company
50 mi
Rural
230 HOSPITAL PLZ
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1477559433 (304) 269-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Mon Health Marion

Acute Care Hospitals · Whitehall, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number510093
Location140 Middletown LoopWhitehall, WV 26554 · Marion County
Emergency services

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV
OwnershipProprietary
CMS Certification Number511312
Location150 Memorial DriveKingwood, WV 26537 · Preston County
Emergency services

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.

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.

MIKE LEE MD, MS, BS
Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4051
ERIC ALLEN
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
ISLAM YOUNES
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (855) 988-2273
TERESA SOLIMANDO FNP-C
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-1111
RODRIGO GABRIEL BEJARANO CASTRO MD
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-6127
MOLLIE SIMONTON
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
CHEYENNE BARR FNP-BC
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
MARLEAH SCHLICK
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Monongalia County (304) 598-4148

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 Derek Dow's NPI number?

The NPI number for Derek Dow is 1730766072. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Derek Dow located?

Derek Dow practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (304) 293-2436.

What is Derek Dow's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Derek Dow enrolled in Medicare?

Yes. Derek Dow 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 Derek Dow's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Dow reassigns Medicare benefits to 4 organizations: Monongalia County General Hospital Company (Morgantown, WV), Preston Memorial Hospital Corporation (Kingwood, WV), Mon Health Marion Neighborhood Hospital, Inc. (White Hall, WV) and Stonewall Jackson Memorial Hospital Company (Weston, WV). 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 Derek Dow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Dow accept?

Health plans from CareSource list Derek Dow 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 Derek Dow affiliated with any hospitals?

According to CMS data, Derek Dow is affiliated with Mon Health Medical Center, Mon Health Marion and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Derek Dow was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.