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SURESH K MENON MD
NPI 1811956311
Dermatology in Martinsburg, WV

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
39.47/100
CMS Quality Rating
1000 TAVERN RD, SUITE 400, MARTINSBURG, WV 25401(304) 350-8733(304) 350-8655 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2021, Feb 16, 2017 (2 updates tracked since 2017).

About Suresh K Menon Md NPPES

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

SURESH K MENON MD (NPI 1811956311) is an individual dermatology provider in Martinsburg, West Virginia, licensed in West Virginia (23521) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1811956311
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSURESH K MENONCredential: MD
Location Address1000 TAVERN RD, SUITE 400Martinsburg, WV 25401-2845
Mailing Address148 Linden Dr, Suite 101Winchester, VA 22601-6909 · (540) 504-0066 · Fax (540) 678-9025
Phone(304) 350-8733
Fax(304) 350-8655
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1997
Enumeration DateMarch 22, 2006
Last NPPES UpdateJune 22, 20212 updates tracked since enumeration
NPPES CertifiedJune 22, 2021
✔ NPI 1811956311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in WV · 23521✔ Licensed in MD · D55793
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 23521 (WV), D55793 (MD)
Also ListedInternal MedicineTaxonomy 207R00000X · License D0055793 (MD)
1000 TAVERN RD, Martinsburg, WV 25401
Open in Google Maps ↗

Secondary Practice Location 1

Location 111110 Medical Campus RdHagerstown, MD 21742-6700 · Phone (301) 714-4400

Other Identifiers 5

Medicaid404724900MD
Medicaid1811956311MD
Other61692304MD · Bcbs
OtherP00110702MD · Railroad
OtherP01520669WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, WellSense Health Plan.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

Suresh K Menon Md 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 ID5991789018
PECOS Enrollment IDI20140129001857
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 13

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.
122 services99 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
80 services75 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
72 services24 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.
62 services62 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
52 services52 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.
50 services46 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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.

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.

39.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality28.94
Improvement Activities20

Other Providers at the Same Location NPPES 3

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

MISS JULIA PATRICIA PICKARD M.D.
Family Medicine
1000 TAVERN RD, SUITE 100
MARTINSBURG, WV 25401
Berkeley County (304) 267-9355
TAMMY GROVE HAMILTON, LLC
Nurse Practitioner (Family)
1000 TAVERN RD, SUITE 100
MARTINSBURG, WV 25401
Berkeley County (304) 267-9355
MRS. TAMMY GROVE HAMILTON DNP,BC
Nurse Practitioner (Family)
1000 TAVERN RD, SUITE 100
MARTINSBURG, WV 25401
Berkeley County (304) 267-9355

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 Suresh Menon's NPI number?

The NPI number for Suresh Menon is 1811956311. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Suresh Menon located?

Suresh Menon practices at 1000 Tavern Rd Suite 400, Martinsburg, WV 25401. The listed phone number is (304) 350-8733.

What is Suresh Menon's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Suresh Menon enrolled in Medicare?

Yes. Suresh Menon 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 Suresh Menon accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and WellSense Health Plan list Suresh Menon 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 Suresh Menon affiliated with any hospitals?

According to CMS data, Suresh Menon is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Suresh Menon was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.