DR. SUSMITHA MARRI REDDY M B B S FRCR
NPI 1932330305
Radiology - Diagnostic Radiology in South Charleston, WV

Q: What is Susmitha Reddy's NPI number?

The NPI number for Susmitha Reddy is 1932330305. It was assigned to this individual provider in the NPPES registry on August 4, 2009.

Q: What is Susmitha Reddy's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Susmitha Reddy was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 04, 2009PECOS EnrolledAccepts Medicare Assignment

96.15/100

CMS Quality Rating

4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309(304) 766-3600 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2022, Jun 9, 2021 (2 updates tracked since 2021).

On this page

About Dr. Susmitha Marri Reddy M B B S Frcr NPPES

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

DR. SUSMITHA MARRI REDDY M B B S FRCR (NPI 1932330305) is an individual diagnostic radiology provider in South Charleston, West Virginia, licensed in West Virginia (26976) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1932330305

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. SUSMITHA MARRI REDDYCredential: M B B S FRCR

Location Address4605 MACCORKLE AVE SWSouth Charleston, WV 25309-1311

Mailing AddressPo Box 840Lima, OH 45802-0840 · (877) 574-7116 · Fax (419) 223-2726

Phone(304) 766-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateAugust 4, 2009

Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration

NPPES CertifiedOctober 4, 2022

✔ NPI 1932330305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in WV · 26976

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 241374 (MA)

4605 MACCORKLE AVE SW, South Charleston, WV 25309

Open in Google Maps ↗

Secondary Practice Locations 5

Location 1333 Laidley StCharleston, WV 25301-1614 · Phone (304) 347-6500

Location 22520 Valley DrPoint Pleasant, WV 25550-2031 · Phone (304) 675-4340

Location 34605 MacCorkle Ave SWSouth Charleston, WV 25309-1311 · Phone (304) 766-3600

Location 44800 MacCorkle Ave SWSouth Charleston, WV 25309-1332 · Phone (304) 767-7730

Location 51 Medical Center DrMorgantown, WV 26506-1200 · Phone (855) 988-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

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. Susmitha Marri Reddy M B B S Frcr 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 ID840512687

PECOS Enrollment IDI20160922001003

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

Medicare enrollment records show Susmitha Reddy reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ths Physician Partners Inc

Same address

Internal Medicine

4605 MACCORKLE AVE SW
South Charleston, WV 25309

Reassigned Medicare billing, West Virginia enrollment
466 clinicians in this Medicare group

NPI 1871866806 (304) 414-4800

David J. Patton, MD., Inc.

3.2 mi

Obstetrics & Gynecology

1003 OAKHURST DR
Charleston, WV 25314

Reassigned Medicare billing, West Virginia enrollment
12 clinicians in this Medicare group

NPI 1063659134 (304) 345-4525

Montgomery General Hospital, Inc

25 mi

Critical Access

401 6TH AVE
Montgomery, WV 25136

Reassigned Medicare billing, West Virginia enrollment
23 clinicians in this Medicare group

NPI 1619913647 (304) 442-5151

Community Health Association

31 mi

Family Medicine

509 CHURCH ST S
Ripley, WV 25271

Reassigned Medicare billing, West Virginia enrollment
Also billed through NPI 1649277476 (West Virginia)
127 clinicians in this Medicare group

NPI 1023599594 (304) 372-2731

Pikeville Medical Center, Inc.

72 mi

Multi-Specialty

911 BYPASS RD BLDG A
Pikeville, KY 41501

Reassigned Medicare billing, West Virginia enrollment
18 clinicians in this Medicare group

NPI 1699554311 (606) 430-3500

West Virginia University Medical Corporation

105 mi

Clinical Medical Laboratory

527 MEDICAL PARK DR, SUITE 108
Bridgeport, WV 26330

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1457605404 (304) 848-2152

Imaging Associates Of Indiana, PC

263 mi

Diagnostic Radiology

2001 W 86TH ST
Indianapolis, IN 46260

Reassigned Medicare billing, West Virginia enrollment
17 clinicians in this Medicare group

NPI 1699072611 (219) 767-6320

Louisville Radiology Imaging Consultants, PLLC

294 mi

Diagnostic Radiology

1201 PLEASANT VALLEY RD
Owensboro, KY 42303

Reassigned Medicare billing, West Virginia enrollment
17 clinicians in this Medicare group

NPI 1639115447 (708) 915-5671

Murfreesboro Radiology & Nuclear Medicine Consultants PLLC

311 mi

Diagnostic Radiology

1700 MEDICAL CENTER PKWY
Murfreesboro, TN 37129

Reassigned Medicare billing, West Virginia enrollment
13 clinicians in this Medicare group

NPI 1316043524 (615) 396-4100

Radiology Alliance PC

319 mi

Diagnostic Radiology

210 25TH AVE N STE 602
Nashville, TN 37203

Reassigned Medicare billing, Tennessee and West Virginia enrollments
245 clinicians in this Medicare group

NPI 1861478489 (615) 312-0600

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

Areas of Expertise CMS Part B claims 67

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

463 services380 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

166 services160 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

165 services161 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.

104 services104 patients

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.

99 services99 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

96 services96 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

93 services92 patients

Screening mammography 77067

88 services88 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

79 services77 patients

Screening 3d breast mammography 77063

75 services75 patients

Ct scan of abdomen and pelvis with contrast 74177

67 services66 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

66 services65 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

62 services61 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

48 services48 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

47 services45 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

43 services40 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

39 services38 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

35 services34 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

34 services34 patients

X-ray of chest, 2 views 71046

33 services32 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

29 services26 patients

Ct scan of chest without contrast 71250

28 services28 patients

Ct scan of chest with contrast 71260

28 services28 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

24 services24 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

23 services23 patients

X-ray of joint between lower spine and hip bone, 3 or more views 72202

This procedure involves taking X-ray images of the joint connecting your lower spine and hip bone from three or more angles. It helps in diagnosing conditions like arthritis or fractures. You'll be positioned carefully, and the X-ray machine will capture the images.

23 services23 patients

Dxa bone density measurement of hip, pelvis, spine 77080

23 services23 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.

23 services22 patients

X-ray lower and sacral spine, minimum of 6 views 72114

An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.

22 services22 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

22 services22 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

22 services22 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

21 services20 patients

Mri scan of brain without contrast 70551

An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.

20 services20 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

20 services19 patients

Ct scan of abdomen and pelvis without contrast 74176

20 services20 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

20 services19 patients

Low dose ct scan of chest for lung cancer screening 71271

A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.

19 services19 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

19 services19 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

19 services19 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

19 services17 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

18 services18 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

18 services17 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

17 services17 patients

Mri scan of brain before and after contrast 70553

An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.

16 services16 patients

Ct scan of blood vessels of neck with contrast 70498

A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.

15 services14 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

15 services15 patients

Mri scan of lower spinal canal without contrast 72148

15 services14 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

15 services15 patients

Diagnostic mammography of 1 breast 77065

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

14 services14 patients

Mri scan of brain before and after contrast 70553

13 services13 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

13 services13 patients

Ct scan of blood vessels of head with contrast 70496

A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.

12 services12 patients

X-ray of middle spine, 3 views 72072

An X-ray of the middle spine, with 3 views, is a diagnostic procedure where images are taken from different angles (front, side, and angled) to assess the health of your spine. It helps identify issues like fractures, tumors, or degenerative conditions.

12 services12 patients

X-ray of abdomen, 2 views 74019

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

12 services11 patients

Complete ultrasound scan of 1 breast 76641

A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.

12 services12 patients

Complete ultrasound scan of 1 breast 76641

12 services12 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

12 services12 patients

Nuclear medicine study from skull base to mid-thigh with ct scan 78815

12 services12 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

11 services11 patients

Mri scan of pelvis without contrast 72195

An MRI scan of the pelvis without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed pictures of the lower part of your body. This helps doctors to identify any abnormalities or issues in that area.

11 services11 patients

X-ray of lower leg, 2 views 73590

An X-ray of the lower leg, 2 views, is a quick, painless test that produces images of the bones in your lower leg. It helps to identify fractures, infections, or diseases. Two different angles are used to provide a comprehensive view of the leg's structure.

11 services11 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

11 services11 patients

Mri scan of leg joint without contrast 73721

11 services11 patients

X-ray of abdomen, 1 view 74018

11 services11 patients

X-ray series of abdomen with single x-ray of chest 74022

An X-ray series of the abdomen and a single X-ray of the chest are imaging tests. They help doctors view the structures within your abdomen and chest. These tests can detect issues like blockages, infections, or tumors. You'll be positioned carefully, and the machine captures images.

11 services11 patients

Mri scan of abdomen before and after contrast 74183

An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.

11 services11 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180092

Location175 Hospital DriveWinchester, KY 40391 · Clark County

Emergency services Birthing friendly

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number440065

Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County

Emergency services Birthing friendly

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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.

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.

96.15/100

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

Scored as part of a group practice

Quality

90.29

Improvement Activities

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.

DUSTIN CRITES

Physician Assistant