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KIM M STOOKE M.D.
NPI 1922001767
Family Medicine in Vienna, WV

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105(304) 485-3300(304) 485-3317 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2022, Sep 14, 2021, Aug 6, 2021 and 2 more (5 updates tracked since 2020).

About Kim M Stooke M.d. NPPES

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

KIM M STOOKE M.D. (NPI 1922001767) is an individual family medicine provider in Vienna, West Virginia, licensed in West Virginia (18455) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Parkersburg.

NPPES Registry Identity

NPI1922001767
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKIM M STOOKECredential: M.D.
Location Address800 GRAND CENTRAL MALL, SUITE 4Vienna, WV 26105-4131
Mailing Address800 Grand Central Mall, Suite 4Vienna, WV 26105-4131 · (304) 485-3300 · Fax (304) 485-3317
Phone(304) 485-3300
Fax(304) 485-3317
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1994
Enumeration DateMay 24, 2005
Last NPPES UpdateSeptember 15, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1922001767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 18455✔ Licensed in OH · 35.088838
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

800 GRAND CENTRAL MALL, Vienna, WV 26105
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Secondary Practice Location 1

Location 1800 Garfield AveParkersburg, WV 26101-5376 · Phone (304) 422-0405

Other Identifiers 2

Medicaid0046995000WV
Medicaid2045405OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kim M Stooke 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 ID4486654225
PECOS Enrollment IDI20070102000080, I20100421000810
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 9

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.
449 services256 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 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 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
39 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services28 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
28 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Camden Clark Medical Center

Acute Care Hospitals · Parkersburg, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510058
Location800 Garfield AveParkersburg, WV 26101 · Wood County
Emergency services Birthing friendly

Jackson General Hospital

Critical Access Hospitals · Ripley, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511320
Location122 Pinnell StRipley, WV 25271 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26105 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
$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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers50 claims128 services$6.48 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers15 claims15 services$2.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims35 services$1.18 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$18.00 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers23 claims23 services$5.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers47 claims47 services$88.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DENNIS E NEWLAND MD
Family Medicine
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300
LILIA ANN UNDERWOOD FNP-BC
Nurse Practitioner (Family)
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-4439
DR. JOHN KEVIN KOCH MD
Surgery
800 GRAND CENTRAL MALL, SUITE 2
VIENNA, WV 26105
Wood County (304) 865-4350
TAMMY L CROOKSHANKS CFNP
Nurse Practitioner (Family)
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300
MR. MIRZA T HAMIRANI M.D.
Internal Medicine (Nephrology)
800 GRAND CENTRAL MALL, SUITE #9
VIENNA, WV 26105
Wood County (304) 834-3970
MID-OHIO VALLEY MEDICAL GROUP, INC
Family Medicine
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300
PARKERSBURG SURGICAL ASSOCIATES, PLLC
Surgery
800 GRAND CENTRAL MALL, SUITE 2
VIENNA, WV 26105
Wood County (304) 865-4345
MID-OHIO VALLEY MEDICAL GROUP, INC.
Clinical Medical Laboratory
800 GRAND CENTRAL MALL, SUITE 4
VIENNA, WV 26105
Wood County (304) 485-3300

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 Kim Stooke's NPI number?

The NPI number for Kim Stooke is 1922001767. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Kim Stooke located?

Kim Stooke practices at 800 Grand Central Mall Suite 4, Vienna, WV 26105. The listed phone number is (304) 485-3300.

What is Kim Stooke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kim Stooke enrolled in Medicare?

Yes. Kim Stooke 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 Kim Stooke accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kim Stooke 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 Kim Stooke affiliated with any hospitals?

According to CMS data, Kim Stooke is affiliated with Marietta Memorial Hospital, Camden Clark Medical Center and Jackson General Hospital.

When was this NPI record last updated?

The NPPES record for Kim Stooke was last updated on September 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.