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DONALD ERIC SIZEMORE DO
NPI 1962411439
Hospitalist in Parkersburg, WV

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
800 GARFIELD AVE, PARKERSBURG, WV 26101(304) 424-2111(304) 420-7162 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2025, May 11, 2017 (2 updates tracked since 2017).

About Donald Eric Sizemore Do NPPES

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

DONALD ERIC SIZEMORE DO (NPI 1962411439) is an individual hospitalist provider in Parkersburg, West Virginia, licensed in West Virginia (2073) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1962411439
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDONALD ERIC SIZEMORECredential: DO
Location Address800 GARFIELD AVEParkersburg, WV 26101-5376
Mailing AddressPo Box 843Morgantown, WV 26507-0843 · (304) 285-7101 · Fax (304) 285-7127
Phone(304) 424-2111
Fax(304) 420-7162
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2003
Enumeration DateAugust 5, 2006
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1962411439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in WV · 2073✔ Licensed in OH · 34010323
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 10109 (SD)
800 GARFIELD AVE, Parkersburg, WV 26101
Open in Google Maps ↗

Other Identifiers 4

Medicaid3810009538WV
Other000000737340OH · Anthem
Medicaid2936229OH
OtherP01008766OH · Rrmedicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, CareSource, Medica 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

Donald Eric Sizemore Do 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 ID9234137357
PECOS Enrollment IDI20061127000261
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
356 services118 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
104 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
38 services16 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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26101 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$16.69 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
2 suppliers22 claims22 services$83.09 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$22.30 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.

JENNIFER BUTLER CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2111
SARAH RANDOLPH M.S., CCC/SLP
Speech-Language Pathologist
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2645
JUDY A COX CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2590
JULIE A PETTIT CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2590
DR. MICHAEL M DICKERSON M.D.
Emergency Medicine
800 GARFIELD AVE, HEALING CENTER AT CCMH
PARKERSBURG, WV 26101
Wood County (304) 424-2228
KRISTI BURDETTE
Pharmacist
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2120
ASWATHY MATHEWS MD
Student in an Organized Health Care Education/Training Program
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2777
KRISTINA L SULLIVAN CRNA
Nurse Anesthetist, Certified Registered
800 GARFIELD AVE
PARKERSBURG, WV 26101
Wood County (304) 424-2590

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 Sizemore's NPI number?

The NPI number for Donald Sizemore is 1962411439. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Donald Sizemore located?

Donald Sizemore practices at 800 Garfield Ave, Parkersburg, WV 26101. The listed phone number is (304) 424-2111.

What is Donald Sizemore's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Donald Sizemore enrolled in Medicare?

Yes. Donald Sizemore 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 Sizemore accept?

Health plans from Avera Health Plans, CareSource, Medica and Sanford Health Plan list Donald Sizemore 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 Sizemore affiliated with any hospitals?

According to CMS data, Donald Sizemore is affiliated with Marietta Memorial Hospital, Monument Health Rapid City Hospital and Camden Clark Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Sizemore was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.