DR. DONALD R FLEMING JR. M.D.
NPI 1912976507
Internal Medicine - Hematology & Oncology in Elkins, WV

Q: What is Donald Fleming's NPI number?

The NPI number for Donald Fleming is 1912976507. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Donald Fleming's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Donald Fleming was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 16, 2006PECOS EnrolledAccepts Medicare Assignment

801 HARRISON AVE, ELKINS, WV 26241(304) 637-3640(304) 637-3644 Get Directions Write a Review

NPPES record last updated: December 8, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Donald R Fleming Jr. M.d. NPPES

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

DR. DONALD R FLEMING JR. M.D. (NPI 1912976507) is an individual hematology & oncology provider in Elkins, West Virginia, licensed in West Virginia (23209) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of University Of Louisville School Of Medicine (1980).

NPPES Registry Identity

NPI1912976507

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. DONALD R FLEMING JR.Credential: M.D.

Location Address801 HARRISON AVEElkins, WV 26241-3607

Mailing Address801 Harrison AveElkins, WV 26241-3607 · (304) 637-3640 · Fax (304) 637-3644

Phone(304) 637-3640

Fax(304) 637-3644

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1980

Enumeration DateMarch 16, 2006

Last NPPES UpdateDecember 8, 2015

✔ NPI 1912976507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in WV · 23209✔ Licensed in IN · 01045209A

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

801 HARRISON AVE, Elkins, WV 26241

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Other Identifiers 7

Medicare PIN441910IN

Medicaid200078200AIN

Medicare PIN7387851

Medicare NSC1224690001IN

Medicare PIN830007836IN

Medicare PIN114620WWIN

Medicare UPINF29333IN

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

Dr. Donald R Fleming Jr. M.d. 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 ID1658469176

PECOS Enrollment IDI20080908000123

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

313 services97 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.

41 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 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.

26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510030

Location812 Gorman AvenueElkins, WV 26241 · Randolph County

Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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

$164.59 typical visit price

range $53.20 – $164.59

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

Most-billed visit code 99205

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 2

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

VICTORIA LYNN KLINGER FNP-C

Nurse Practitioner (Family)

801 HARRISON AVE
ELKINS, WV 26241

Randolph County (304) 637-3640

METLAPALLI VENKATA SRAVANTHI M.D.

Internal Medicine (Hematology & Oncology)

801 HARRISON AVE
ELKINS, WV 26241

Randolph County (304) 637-3826

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 Donald Fleming's NPI number?

The NPI number for Donald Fleming is 1912976507. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Donald Fleming located?

Donald Fleming practices at 801 Harrison Ave, Elkins, WV 26241. The listed phone number is (304) 637-3640.

What is Donald Fleming's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Donald Fleming enrolled in Medicare?

Yes. Donald Fleming 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 Donald Fleming accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Donald Fleming 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 Donald Fleming affiliated with any hospitals?

According to CMS data, Donald Fleming is affiliated with United Hospital Center, Inc, Davis Medical Center and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Donald Fleming was last updated on December 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.