BERNADETTE LUBY PA-C
NPI 1982390282
Physician Assistant in Charleston, WV

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
4602 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 205-7535(304) 205-7549 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 7, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Bernadette Luby Pa-c NPPES

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

BERNADETTE LUBY PA-C (NPI 1982390282) is an individual physician assistant in Charleston, West Virginia, licensed in West Virginia (870) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982390282
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBERNADETTE LUBYCredential: PA-C
Location Address4602 MACCORKLE AVE SECharleston, WV 25304-1848
Mailing Address104 Alex LnCharleston, WV 25304-2952 · (304) 734-2040 · Fax (304) 734-2047
Fax(304) 205-7549
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 11, 2023
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
NPI 1982390282 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 · 870 Licensed in FL · 9117743
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.

4602 MACCORKLE AVE SE, Charleston, WV 25304

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

Bernadette Luby 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 ID5496109217
PECOS Enrollment IDI20230928000316
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

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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.

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.

Internal Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Emergency Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Urgent Care)
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Federally Qualified Health Center (FQHC))
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Internal Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304
Family Medicine
4602 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Bernadette Luby's NPI number?

The NPI number for Bernadette Luby is 1982390282. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Bernadette Luby located?

Bernadette Luby practices at 4602 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 205-7535.

What is Bernadette Luby's specialty?

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

Is Bernadette Luby enrolled in Medicare?

Yes. Bernadette Luby 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 Bernadette Luby accept?

Health plans from CareSource list Bernadette Luby 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 Bernadette Luby affiliated with any hospitals?

According to CMS data, Bernadette Luby is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Bernadette Luby was last updated on September 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.