GARY MONROE DO
NPI 1801472725
Internal Medicine in Morgantown, WV

Q: What is Gary Monroe's NPI number?

The NPI number for Gary Monroe is 1801472725. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Gary Monroe's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Monroe was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 22, 2021PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(855) 988-2273 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2024, Mar 25, 2021 (2 updates tracked since 2021).

On this page

About Gary Monroe Do NPPES

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

GARY MONROE DO (NPI 1801472725) is an individual internal medicine provider in Morgantown, West Virginia, licensed in West Virginia (4308) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1801472725

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameGARY MONROECredential: DO

Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200

Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (855) 988-2273

Phone(855) 988-2273

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateJune 24, 20242 updates tracked since enumeration

NPPES CertifiedJune 24, 2024

✔ NPI 1801472725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WV · 4308

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 MEDICAL CENTER DR, Morgantown, WV 26506

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Secondary Practice Location 1

Location 1101 Stadium DrMorgantown, WV 26506-7911 · Phone (304) 598-4850 · Fax (304) 598-4871

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

Gary Monroe Do 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 ID345787982

PECOS Enrollment IDI20260626002084

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

Medicare enrollment records show Gary Monroe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation

Same address

Family Medicine

1 MEDICAL CENTER DRIVE
Morgantown, WV 26506

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1275504508 (304) 598-4800

Fayette Physician Network Inc

14 mi

Family Medicine

25 MAIN ST
Smithfield, PA 15478

Reassigned Medicare billing, Pennsylvania enrollment
398 clinicians in this Medicare group

NPI 1588066765 (724) 569-1420

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

49 services15 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.

39 services17 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.

19 services18 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

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)