SHANE PRETTYMAN MD
NPI 1861695421
Obstetrics & Gynecology in Morgantown, WV

Q: What is Shane Prettyman's NPI number?

The NPI number for Shane Prettyman is 1861695421. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Q: What is Shane Prettyman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Prettyman was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 08, 2007PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

2000 MON HEALTH MEDICAL PARK DR STE 2100, MORGANTOWN, WV 26505(304) 599-6811(304) 599-7159 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2020, Dec 6, 2018 (2 updates tracked since 2018).

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About Shane Prettyman Md NPPES

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

SHANE PRETTYMAN MD (NPI 1861695421) is an individual obstetrics & gynecology provider in Morgantown, West Virginia, licensed in West Virginia (24519) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mon Health Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861695421

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameSHANE PRETTYMANCredential: MD

Location Address2000 MON HEALTH MEDICAL PARK DR STE 2100Morgantown, WV 26505

Mailing Address2000 Mon Health Medical Park Dr Ste 2100Morgantown, WV 26505-1134 · (304) 599-6811 · Fax (304) 599-7159

Phone(304) 599-6811

Fax(304) 599-7159

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2007

Enumeration DateJune 8, 2007

Last NPPES UpdateAugust 3, 20232 updates tracked since enumeration

NPPES CertifiedAugust 3, 2023

✔ NPI 1861695421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WV · 24519

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2000 MON HEALTH MEDICAL PARK DR STE 2100, Morgantown, WV 26505

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Secondary Practice Locations 3

Location 11703 Locust AveFairmont, WV 26554-1320 · Phone (304) 366-6100 · Fax (304) 366-2220

Location 2230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-0030 · Fax (304) 269-0034

Location 366 Hospital Plz Ste 103Weston, WV 26452-8595 · Phone (304) 269-3108 · Fax (304) 269-3109

Accepted Insurance

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

Shane Prettyman 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 ID1850562646

PECOS Enrollment IDI20110928000246

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 2

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.

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

44 services44 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

44 services44 patients

Hospital Affiliations CMS Care Compare

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

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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

$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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 17

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

ERICA ARTHURS M.D.

Obstetrics & Gynecology