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JACK DOTY III PA
NPI 1801254412
Physician Assistant in Delbarton, WV

Active since February 10, 2016PECOS EnrolledAccepts Medicare Assignment
5027 HELENA AVE, DELBARTON, WV 25670(304) 475-1761(304) 475-1762 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2025, Aug 21, 2024, Jan 30, 2017 and 1 more (4 updates tracked since 2016).

About Jack Doty Iii Pa NPPES

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

JACK DOTY III PA (NPI 1801254412) is an individual physician assistant in Delbarton, West Virginia, licensed in West Virginia (1970) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, is affiliated with Tug Valley Arh Regional Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1801254412
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK DOTY IIICredential: PA
Location Address5027 HELENA AVEDelbarton, WV 25670-1301
Mailing Address7400 Lynn AveHamlin, WV 25523-1138
Phone(304) 475-1761
Fax(304) 475-1762
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 10, 2016
Last NPPES UpdateDecember 9, 20254 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
✔ NPI 1801254412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 1970
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5027 HELENA AVE, Delbarton, WV 25670
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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

Jack Doty Iii Pa 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 ID3779875125
PECOS Enrollment IDI20160706000915
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.

Hospital Affiliations CMS Care Compare

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

Tug Valley Arh Regional Medical Center

Acute Care Hospitals · South Williamson, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180069
Location260 Hospital DriveSouth Williamson, KY 41503 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25670 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
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
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 11

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
3 suppliers16 claims30 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims12 services$1.04 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers23 claims23 services$67.50 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers43 claims43 services$21.29 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier21 claims21 services$926.68 avg. paid by Medicare
High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483
DME-Other DME · category DE000N
1 supplier11 claims11 services$840.48 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 2

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

LINCOLN COUNTY PRIMARY CARE CENTER INC
Pharmacy (Community/Retail Pharmacy)
5027 HELENA AVE
DELBARTON, WV 25670
Mingo County (304) 475-1761
LINCOLN COUNTY PRIMARY CARE CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
5027 HELENA AVE, SUITE 1
DELBARTON, WV 25670
Mingo County (304) 475-1761

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 Jack Doty's NPI number?

The NPI number for Jack Doty is 1801254412. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Where is Jack Doty located?

Jack Doty practices at 5027 Helena Ave, Delbarton, WV 25670. The listed phone number is (304) 475-1761.

What is Jack Doty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jack Doty enrolled in Medicare?

Yes. Jack Doty 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.

Is Jack Doty affiliated with any hospitals?

According to CMS data, Jack Doty is affiliated with Tug Valley Arh Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Doty was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.