CARL A SEYNNAEVE M.D.
NPI 1972899292
Radiology - Diagnostic Radiology in Wheeling, WV

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
92.82/100
CMS Quality Rating
1 MEDICAL PARK, WHEELING, WV 26003(304) 243-3270 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2021, Mar 31, 2021, Jan 23, 2020 (3 updates tracked since 2020).

About Carl A Seynnaeve M.d. NPPES

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

CARL A SEYNNAEVE M.D. (NPI 1972899292) is an individual diagnostic radiology provider in Wheeling, West Virginia, licensed in West Virginia (27420) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Barnesville Hospital Association, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1972899292
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCARL A SEYNNAEVECredential: M.D.
Location Address1 MEDICAL PARKWheeling, WV 26003-6379
Mailing AddressPo Box 5307Lima, OH 45802-5307 · (866) 497-8222 · Fax (419) 223-2726
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2011
Enumeration DateJune 24, 2011
Last NPPES UpdateApril 5, 20213 updates tracked since enumeration
NPPES CertifiedApril 5, 2021
✔ NPI 1972899292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WV · 27420
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1 MEDICAL PARK, Wheeling, WV 26003

Secondary Practice Locations 4

Location 13 E Benjamin DrNew Martinsville, WV 26155-2705 · Phone (304) 455-8000
Location 2951 E Market StCadiz, OH 43907-9799 · Phone (740) 942-4631
Location 3800 Wheeling AveGlen Dale, WV 26038-1660 · Phone (304) 843-3310
Location 4601 Colliers WayWeirton, WV 26062-5014 · Phone (304) 797-6000

Other Identifiers 3

Medicaid1972899292WV
Medicaid1031225100002PA
Medicaid0212572OH

Accepted 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

Carl A Seynnaeve 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 ID648560862
PECOS Enrollment IDI20160531002238, I20170608001509, I20170703000417
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

4

Medicare enrollment records show Carl Seynnaeve reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, Ohio, Pennsylvania and West Virginia enrollments
  • 18 clinicians in this Medicare group
Critical Access
639 W. MAIN ST.
Barnesville, OH 43713
  • Reassigned Medicare billing, Ohio enrollment
  • 78 clinicians in this Medicare group
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
250 MAPLE ST
Friendsville, MD 21531
  • Reassigned Medicare billing, Ohio and West Virginia enrollments
  • 36 clinicians in this Medicare group

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 45

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.

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.
1,043 services1,043 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.
1,039 services1,038 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.
304 services285 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.
246 services220 patients
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.
208 services198 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.
184 services184 patients

Hospital Affiliations CMS Care Compare 5

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

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Wetzel County Hospital

Acute Care Hospitals · New Martinsville, WV
OwnershipGovernment - Local
CMS Certification Number510072
Location#3 East Benjamin DriveNew Martinsville, WV 26155 · Wetzel County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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.

92.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.22
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.

Speech-Language Pathologist
1 MEDICAL PARK
WHEELING, WV 26003
Behavior Analyst
1 MEDICAL PARK
WHEELING, WV 26003
Specialist/Technologist (Athletic Trainer)
1 MEDICAL PARK
WHEELING, WV 26003
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Physical Therapist
1 MEDICAL PARK, WHEELING HOSPITAL INC
WHEELING, WV 26003
Nurse Practitioner (Family)
1 MEDICAL PARK
WHEELING, WV 26003
Nurse Anesthetist, Certified Registered
1 MEDICAL PARK
WHEELING, WV 26003
Radiology (Diagnostic Radiology)
1 MEDICAL PARK
WHEELING, WV 26003

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 Carl Seynnaeve's NPI number?

The NPI number for Carl Seynnaeve is 1972899292. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Carl Seynnaeve located?

Carl Seynnaeve practices at 1 Medical Park, Wheeling, WV 26003. The listed phone number is (304) 243-3270.

What is Carl Seynnaeve's specialty?

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

Is Carl Seynnaeve enrolled in Medicare?

Yes. Carl Seynnaeve 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.

Which organizations bill Medicare for Carl Seynnaeve's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Seynnaeve reassigns Medicare benefits to 4 organizations: Radiology Associates, Inc (Wheeling, WV), Barnesville Hospital Association, Inc. (Barnesville, OH), University Of Pittsburgh Physicians (East Liverpool, OH) and Fayette Physician Network Inc (Friendsville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Seynnaeve's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Seynnaeve accept?

Health plans from CareSource list Carl Seynnaeve 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 Carl Seynnaeve affiliated with any hospitals?

According to CMS data, Carl Seynnaeve is affiliated with Barnesville Hospital Association, Inc, Weirton Medical Center, Inc, Princeton Community Hospital, Wheeling Hospital, Inc and Wetzel County Hospital.

When was this NPI record last updated?

The NPPES record for Carl Seynnaeve was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.