ROY L GRALEY NP
NPI 1750023172
Nurse Practitioner - Acute Care in Morgantown, WV

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(304) 598-4000 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Roy L Graley Np NPPES

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

ROY L GRALEY NP (NPI 1750023172) is an individual acute care provider in Morgantown, West Virginia, licensed in West Virginia (112535) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750023172
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameROY L GRALEYCredential: NP
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 7, 2022
NPPES CertifiedMarch 29, 2022
NPI 1750023172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in WV · 112535
1 MEDICAL CENTER DR, Morgantown, WV 26506

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

Roy L Graley Np 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 ID5698153393
PECOS Enrollment IDI20220608003288
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 7

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.
233 services199 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
97 services84 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.
91 services88 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
80 services80 patients
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.
36 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services16 patients

Hospital Affiliations CMS Care Compare 5

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511308
Location100 Hoylman DriveGassaway, WV 26624 · Braxton County
Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas 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.

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

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.

Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

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 Roy Graley's NPI number?

The NPI number for Roy Graley is 1750023172. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Roy Graley located?

Roy Graley practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (304) 598-4000.

What is Roy Graley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Roy Graley enrolled in Medicare?

Yes. Roy Graley 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 Roy Graley accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Roy Graley 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 Roy Graley affiliated with any hospitals?

According to CMS data, Roy Graley is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc, Braxton County Memorial Hospital, Inc, St Joseph's Hospital Of Buckhannon, Inc and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Roy Graley was last updated on April 7, 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.