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JESSICA SETHMAN PA-C
NPI 1932520061
Physician Assistant in Morgantown, WV

Active since December 16, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 26506(304) 293-2436 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jessica Sethman Pa-c NPPES

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

JESSICA SETHMAN PA-C (NPI 1932520061) is an individual physician assistant in Morgantown, West Virginia, licensed in West Virginia (1765) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1932520061
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA SETHMANCredential: PA-C
Location Address1 MEDICAL CENTER DRIVEMorgantown, WV 26506
Mailing Address1 Medical Center DriveMorgantown, WV 26506
Phone(304) 293-2436
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 16, 2013
Last NPPES UpdateOctober 24, 2017
✔ NPI 1932520061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WV · 1765✔ Licensed in WV · 01765✔ Licensed in PA · MA056381
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 MEDICAL CENTER DRIVE, Morgantown, WV 26506
Open in Google Maps ↗

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

Jessica Sethman Pa-c 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 ID4688804040
PECOS Enrollment IDI20140304000739, I20260203001686
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 2

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.

Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes 99421
This service involves a week-long digital assessment of your health status. It's conducted online by your healthcare provider, focusing on managing your existing health condition. The process takes 5-10 minutes of your time daily, ensuring optimal health management.
37 services36 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.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26506 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.

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

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.

DR. DORIAN J WILLIAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
MEGHAN METCALFE PT
Physical Therapist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4118
MRS. HOLLY BETH HARTMAN-ADAMS M.D.
Family Medicine
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-6900
DR. SWAPNA GAYAM M.D
Internal Medicine (Gastroenterology)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 293-4123
DR. JAMES ROBERT WELTY M.D.
Hospitalist
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4000
ANDREW VUCELIK MD
Emergency Medicine
1 MEDICAL CENTER DRIVE, ROOM 4601
MORGANTOWN, WV 26506
Monongalia County (304) 293-7215
RYAN CODDINGTON TURNER M.D., PH.D.
Neurological Surgery
1 MEDICAL CENTER DRIVE, ROOM 4300
MORGANTOWN, WV 26506
Monongalia County (304) 293-5041
PENNY CULLEY RN
Nurse Practitioner (Family)
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Monongalia County (304) 598-4800

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 Jessica Sethman's NPI number?

The NPI number for Jessica Sethman is 1932520061. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Where is Jessica Sethman located?

Jessica Sethman practices at 1 Medical Center Drive, Morgantown, WV 26506. The listed phone number is (304) 293-2436.

What is Jessica Sethman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Sethman enrolled in Medicare?

Yes. Jessica Sethman 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 Jessica Sethman accept?

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

According to CMS data, Jessica Sethman is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Jessica Sethman was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.