DEBORAH GILLISPIE MD
NPI 1891992756
Emergency Medicine in Huntington, WV

NPI Status: Active since July 02, 2007

Contact Information

1340 HAL GREER BLVD
HUNTINGTON, WV
ZIP 25701
Phone: (304) 526-2200
Fax: (304) 526-2139

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  • Individual
  • Female
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About DEBORAH GILLISPIE

This page provides the complete NPI Profile along with additional information for Deborah Gillispie, a provider established in Huntington, West Virginia with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1891992756 assigned on July 2007. The practitioner's primary taxonomy code is 207P00000X with license number 16944 (WV). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1891992756
Provider Name
DEBORAH GILLISPIE MD
Gender
Female
Entity Type
Individual
Location Address
1340 HAL GREER BLVD HUNTINGTON, WV 25701
Location Phone
(304) 526-2200
Location Fax
(304) 526-2139
Mailing Address
1340 HAL GREER BLVD HUNTINGTON, WV 25701
Mailing Phone
(304) 526-2200
Mailing Fax
(304) 526-2139
Is Sole Proprietor?
No
Enumeration Date
07-02-2007
Last Update Date
03-07-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
16944
License State
WV
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

16944 (WV)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO
  • my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access WV PPO Bronze 3800 - PPO
  • my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Bronze 9200 - PPO
  • my Blue Access WV PPO Gold 0 - PPO
  • my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Gold 1700 HSA - PPO
  • my Blue Access WV PPO Premier Gold 0 - PPO
  • my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Premier Silver 0 - PPO
  • my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Bronze 7500 - PPO
  • my Blue Access WV PPO Standard Gold 2000 - PPO
  • my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
  • my Blue Access WV PPO Standard Silver 6000 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
16944OTHER (01)WVLICENSE

Medicare Participation & PECOS Enrollment Status

Deborah Gillispie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

This service was performed 19 times for 19 patients

Established patient home visit, typically 40 minutes

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

This service was performed 14 times for 11 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 25701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.49
  • Minimum New Patient Price $53.2
  • Maximum New Patient Price $164.59
  • Average New Patient Copayment $20.87
  • Minimum New Patient Copayment $13.3
  • Maximum New Patient Copayment $41.14

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.81
  • Minimum Established Patient Price $16.47
  • Maximum Established Patient Price $133.29
  • Average Established Patient Copayment $23.7
  • Minimum Established Patient Copayment $4.11
  • Maximum Established Patient Copayment $33.32

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DEBORAH GILLISPIE MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891992756, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 8 + 9 + 4 + 7 + 1 + 0 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1891992756.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Anesthesiology
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Anesthesiology
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Emergency Medicine
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Anesthesiology
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Anesthesiology
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701
Nurse Anesthetist, Certified Registered
1340 HAL GREER BLVD
HUNTINGTON, WV 25701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891992756, enumerated as an "individual" on July 02, 2007.

The provider is located at 1340 HAL GREER BLVD HUNTINGTON, WV 25701 and the phone number is (304) 526-2200.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to verify.