NPIMap

Individual provider Active NPI

Richard Stockton Trenbath, M.D.

  • Family Medicine Physician
  • Summersville, WV
National Provider Identifier
1124002043
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12758 Issued in WV
Practice address
211 Merchants Walk
Shopping Center
Summersville, WV 26651-1901
Phone
(304) 872-9455
Fax
(304) 872-9456
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12758 WV Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 12758 WV

Addresses

Primary practice location

211 Merchants Walk
Shopping Center
Summersville, WV 26651-1901

Mailing address

PO Box 1049
Lewisburg, WV 24901-4049
Phone (304) 645-4043

Other identifiers 3

IdentifierTypeStateIssuer
3810022256MedicaidWV
002684077OtherWVHIGHMARK BCBS
0053183000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061003000042 WV Practitioner - Family PracticePractitioner - Geriatric Medicine 0143244251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
George Washington University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Health Care Cooperative IncGroup PAC ID 9830431030, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Charleston, WV, CCN 517115
  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • Webster Memorial Hospital Hospital, Webster Springs, WV, CCN 511301
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Webster Healthcare Center Nursing home, Cowen, WV, CCN 515165

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12758WVMDMedical Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc CurrentSince Nov 20, 2023 Accepting new patients
Summersville Out Patient Center Family Medicine CurrentSince Aug 1, 2013 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Professional Park Leasing Co., LLC Past Accepting new patients
Erbacon Leasing Co., LLC Past Accepting new patients

Locations

211 Merchants Walk
Summersville, WV 26651
Phone (304) 645-0870

400 Fairview Heights Rd
#204
Summersville, WV 26651
Phone (304) 872-8536

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Interoperability endpoints

  • Direct secure messaging: rtrenbath@yourcarecommunity.org
  • Direct secure messaging: rtrenbath145931@direct.wvuhsdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Webster Healthcare CenterCowen, WV, CCN 515165 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 14, 2023
Apr 14, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1124002043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249014049",
            "telephone_number": "304-645-4043",
            "fax_number": "304-645-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MERCHANTS WALK",
            "address_2": "SHOPPING CENTER",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511901",
            "telephone_number": "304-872-9455",
            "fax_number": "304-872-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENBATH",
        "first_name": "RICHARD",
        "middle_name": "STOCKTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "12758",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WV",
            "license": "12758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810022256",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "002684077",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053183000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.