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DANIEL MARSHALL
NPI 1780151787
Nurse Practitioner - Family in Glen Dale, WV

Active since October 28, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 WHEELING AVE, GLEN DALE, WV 26038(304) 845-3211 Get Directions Write a Review

NPPES record last updated: October 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daniel Marshall NPPES

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

DANIEL MARSHALL (NPI 1780151787) is an individual family provider in Glen Dale, West Virginia, licensed in West Virginia (APRN92932) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Barnesville Hospital Association, Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780151787
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL MARSHALL
Location Address800 WHEELING AVEGlen Dale, WV 26038-1660
Mailing Address1 Lee DrWheeling, WV 26003-1615 · (304) 905-5040
Phone(304) 845-3211
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 28, 2018
✔ NPI 1780151787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · APRN92932
800 WHEELING AVE, Glen Dale, WV 26038
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Daniel Marshall 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 ID2264779495
PECOS Enrollment IDI20190128000006
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 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.
287 services263 patients
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.
171 services156 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
62 services60 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.
27 services27 patients
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012
A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.
20 services20 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26038 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

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers15 claims912 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers56 claims7,602 services$5.19 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers18 claims72 services$1.46 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. CODY BRAXTON LARSEN MD
Emergency Medicine
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
DR. BRANDON DANIEL WILSON M.D.
General Practice
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
REYNOLDS MEMORIAL HOSPITAL INC
Home Health
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 843-3211
LILLIAN HELEN DAVIS CRNP
Nurse Practitioner (Family)
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 843-3313
BRAYLYNN DIANE CLARK APRN
Emergency Medicine
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
DR. JOSEPH MATTHEW PALUMBO DO
Emergency Medicine
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 845-3211
PROACTIVE OCCUPATIONAL MEDICINE, INC.
Clinic/Center (Occupational Medicine)
800 WHEELING AVE, SUITE 1W
GLEN DALE, WV 26038
Marshall County (740) 961-8275
DR. BROC JONES PHARMD
Pharmacist
800 WHEELING AVE
GLEN DALE, WV 26038
Marshall County (304) 843-3218

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 Daniel Marshall's NPI number?

The NPI number for Daniel Marshall is 1780151787. It was assigned to this individual provider in the NPPES registry on October 28, 2018.

Where is Daniel Marshall located?

Daniel Marshall practices at 800 Wheeling Ave, Glen Dale, WV 26038. The listed phone number is (304) 845-3211.

What is Daniel Marshall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Daniel Marshall enrolled in Medicare?

Yes. Daniel Marshall 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 Daniel Marshall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Daniel Marshall 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 Daniel Marshall affiliated with any hospitals?

According to CMS data, Daniel Marshall is affiliated with Barnesville Hospital Association, Inc, West Virginia University Hospitals, Inc, Reynolds Memorial Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Marshall was last updated on October 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.