NATHANIEL LINGER M.D.
NPI 1942656400
Family Medicine in Rock Cave, WV

Active since May 13, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
78 QUEENS ALLEY RD, ROCK CAVE, WV 26234(304) 924-6262(304) 924-5460 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 31, 2022, Nov 18, 2020, May 13, 2016 (3 updates tracked since 2016).

About Nathaniel Linger M.d. NPPES

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

NATHANIEL LINGER M.D. (NPI 1942656400) is an individual family medicine provider in Rock Cave, West Virginia, licensed in West Virginia (28513) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1942656400
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHANIEL LINGERCredential: M.D.
Location Address78 QUEENS ALLEY RDRock Cave, WV 26234-5890
Mailing Address78 Queens Alley RdRock Cave, WV 26234-5890 · (304) 924-6262 · Fax (304) 924-5460
Fax(304) 924-5460
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2016
Enumeration DateMay 13, 2016
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
NPI 1942656400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 28513
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.
78 QUEENS ALLEY RD, Rock Cave, WV 26234

Secondary Practice Location 1

Location 11 Medical Center DrMorgantown, WV 26506 · Phone (304) 285-7455

Accepted 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

Nathaniel Linger 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 ID3173814027
PECOS Enrollment IDI20190612001944
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.

Hospital Affiliations CMS Care Compare 3

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

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

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 26234 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

Reported Quality Measures

Breast Cancer Screening
63%265 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
53%675 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
86%475 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%198 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,951 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
57%351 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
95%888 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 1,191 patients
Patients screened: 99% · 1,191 patients
93%415 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%320 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
4 suppliers11 claims22 services$5.46 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
3 suppliers18 claims18 services$91.98 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 5

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

Nurse Practitioner (Family)
78 QUEENS ALLEY RD
ROCK CAVE, WV 26234
Psychologist (Clinical)
78 QUEENS ALLEY RD
ROCK CAVE, WV 26234
Physician Assistant
78 QUEENS ALLEY RD
ROCK CAVE, WV 26234
Nurse Practitioner (Family)
78 QUEENS ALLEY RD
ROCK CAVE, WV 26234
Clinic/Center (Federally Qualified Health Center (FQHC))
78 QUEENS ALLEY RD
ROCK CAVE, WV 26234

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 Nathaniel Linger's NPI number?

The NPI number for Nathaniel Linger is 1942656400. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Nathaniel Linger located?

Nathaniel Linger practices at 78 Queens Alley Rd, Rock Cave, WV 26234. The listed phone number is (304) 924-6262.

What is Nathaniel Linger's specialty?

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

Is Nathaniel Linger enrolled in Medicare?

Yes. Nathaniel Linger 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 Nathaniel Linger accept?

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

According to CMS data, Nathaniel Linger is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Nathaniel Linger was last updated on August 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.