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DR. MARIAN ROSE KAVANAUGH DPM
NPI 1912584780
Podiatrist in Wheeling, WV

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PARK, WHEELING, WV 26003(304) 455-8071 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 27, 2024, May 19, 2024, Mar 26, 2021 (3 updates tracked since 2021).

About Dr. Marian Rose Kavanaugh Dpm NPPES

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

DR. MARIAN ROSE KAVANAUGH DPM (NPI 1912584780) is an individual podiatrist in Wheeling, West Virginia, licensed in West Virginia (10522) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1912584780
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. MARIAN ROSE KAVANAUGHCredential: DPM
Location Address1 MEDICAL PARKWheeling, WV 26003-6379
Mailing Address1 Medical ParkWheeling, WV 26003-6379 · (304) 455-8071
Phone(304) 455-8071
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
✔ NPI 1912584780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in WV · 10522
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 MEDICAL PARK, Wheeling, WV 26003
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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

Dr. Marian Rose Kavanaugh Dpm 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 ID244778223
PECOS Enrollment IDI20250915001005
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

2

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

Reynolds Memorial Hospital Inc
1.6 mi
Surgery
109 MOUNT WOOD RD
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 275 clinicians in this Medicare group
NPI 1457657991 (304) 233-2455
Cgh Medical Center
486 mi
Family Medicine
101 E MILLER RD
Sterling, IL 61081
  • Reassigned Medicare billing, Illinois enrollment
  • 356 clinicians in this Medicare group
NPI 1548540636 (815) 625-4790

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

Hospital Affiliations CMS Care Compare

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140043
Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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.

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.

MOLLY E. FISHER SLP
Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
KRISTINA JOHNSON PH.D.
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-1134
MICHAEL GARMAN ATC,PTA
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
CATHERINE F SANSONE PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
BILLIE J JOHNSTON PT
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Ohio County (304) 243-3124
ANGELA HENNIS
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3000
MADELINE F SHIPE CRNA
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3343
TERRY L STAKE M.D.
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3270

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 Marian Kavanaugh's NPI number?

The NPI number for Marian Kavanaugh is 1912584780. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Marian Kavanaugh located?

Marian Kavanaugh practices at 1 Medical Park, Wheeling, WV 26003. The listed phone number is (304) 455-8071.

What is Marian Kavanaugh's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Marian Kavanaugh enrolled in Medicare?

Yes. Marian Kavanaugh 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.

Which organizations bill Medicare for Marian Kavanaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marian Kavanaugh reassigns Medicare benefits to 2 organizations: Reynolds Memorial Hospital Inc (Wheeling, WV) and Cgh Medical Center (Sterling, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marian Kavanaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marian Kavanaugh affiliated with any hospitals?

According to CMS data, Marian Kavanaugh is affiliated with Cgh Medical Center.

When was this NPI record last updated?

The NPPES record for Marian Kavanaugh was last updated on June 27, 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.