DR. PHILIP HENRY HORNER MD
NPI 1760481931
Family Medicine in Fairmont, WV

Q: What is Philip Horner's NPI number?

The NPI number for Philip Horner is 1760481931. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Philip Horner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Philip Horner was last updated on April 6, 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.

Active since July 19, 2005PECOS Enrolled

94.1/100

CMS Quality Rating

1031 MORGANTOWN AVE, FAIRMONT, WV 26554(304) 333-8840(304) 333-8850 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2022, Jan 8, 2021, Oct 17, 2020 (3 updates tracked since 2020).

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About Dr. Philip Henry Horner Md NPPES

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

DR. PHILIP HENRY HORNER MD (NPI 1760481931) is an individual family medicine provider in Fairmont, West Virginia, licensed in West Virginia (13530) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760481931

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PHILIP HENRY HORNERCredential: MD

Location Address1031 MORGANTOWN AVEFairmont, WV 26554-4355

Mailing Address1031 Morgantown AveFairmont, WV 26554-4355 · (304) 333-8840 · Fax (304) 333-8850

Phone(304) 333-8840

Fax(304) 333-8850

Sole ProprietorNo

Enumeration DateJuly 19, 2005

Last NPPES UpdateApril 6, 20223 updates tracked since enumeration

NPPES CertifiedApril 6, 2022

✔ NPI 1760481931 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 · 13530

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.

1031 MORGANTOWN AVE, Fairmont, WV 26554

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Other Identifiers 7

Other4390268WV · Aetna

OtherW44306WA · Mountain State Blue Cross

Other080184665WV · Railroad Medicare

OtherWV13530CWV · Health Plan

Medicaid0057187000WV

Other836888WV · Optimum Choice

Other880735WV · Mamsi

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip Henry Horner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26554 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

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers29 claims68 services$6.36 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims18 services$1.18 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers13 claims26 services$8.70 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

3 suppliers24 claims25 services$111.98 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$38.23 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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