Individual provider Active NPI

Marco A Caccamo, DO

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Morgantown, WV
National Provider Identifier
1164696530
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
3193 Issued in WV
Practice address
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone
(304) 598-4800
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 52173 MN
Cardiovascular Disease Physician 207RC0000X 02004222A IN
Cardiovascular Disease Physician 207RC0000X 393 WV
Cardiovascular Disease Physician 207RC0000X OS015872 PA
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 3193 WV Primary

Addresses

Primary practice location

1 Medical Center Dr
Morgantown, WV 26506-1200

Mailing address

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4800

Other practice location 1

1801 N Senate Blvd
Indianapolis, IN 46202-1228
Phone (317) 962-0500

Other identifiers 3

IdentifierTypeStateIssuer
P01279017OtherINRAILROAD MEDICARE
P01238575OtherINRAILROAD MEDICARE
201164930MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mcaccamo107174@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address mcaccamo107174@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address mcaccamo107174@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, OH, MD4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170915000759 WV Practitioner - Advanced Heart Failure and Transplant CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173701372 Reassigns benefits to 5 organizations
I20190826000079 PA Practitioner - Advanced Heart Failure and Transplant Cardiology 3173701372 Reassigns benefits to 2 organizations
I20211123003038 OH Practitioner - Advanced Heart Failure and Transplant Cardiology 3173701372 Reassigns benefits to 1 organization
I20231120003107 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Advanced Heart Failure and Transplant Cardiology 3173701372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Advanced Heart Failure and Transplant CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

10 Medical Park
Suite 104
Wheeling, WV 26003-6389
Phone (304) 242-4800

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

13079 Garrett Hwy
Oakland, MD 21550-1163
Phone (844) 424-0411

222 N 5TH St
Suite 204
Martins Ferry, OH 43935-1582
Phone (740) 633-6462

401 E Murphy Ave
Wvu Heart and Vascular Inst Connesv
Connellsville, PA 15425-2724
Phone (844) 424-0413

451 Murtha Dr
Waynesburg, PA 15370-7010
Phone (855) 988-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

Merit-based Incentive Payment System (MIPS)

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

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
3193WVMDMental Health Counselor
393WVMDRegistered Dietitian
52173MNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Sep 23, 2023 Accepting new patients
Fayette Physician Network Inc Family Medicine Current Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Sep 23, 2023 Accepting new patients
Wheeling Hospital Inc Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jul 10, 2017 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Dec 29, 2021 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Dec 29, 2021 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Oct 14, 2024 Accepting new patients
Wvu Medical Corporation CurrentSince Jul 10, 2017 Accepting new patients
Wheeling Hospital Inc CurrentSince Oct 1, 2021 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Allina Health System Past Accepting new patients
West Virginia University Hospitals, Inc Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

13079 Garrett Hwy
Oakland, MD 21550
Phone (304) 599-1100

4697 Harrison St
Bellaire, OH 43906
Phone (304) 234-2000

222 N 5th St
Ste 204
Martins Ferry, OH 43935
Phone (740) 633-4180

222 N 5th St
Ste 101
Martins Ferry, OH 43935
Phone (740) 633-6480

107 Plaza Dr
St Clairsvle, OH 43950
Phone (740) 526-0204

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

650 Cedar Creek Grade
Ste 100
Winchester, VA 22601
Phone (540) 535-0000

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1377 Locust Ave
Fairmont, WV 26554
Phone (304) 363-3500

100 Stoney Hill Rd
Fairmont, WV 26554
Phone (304) 285-5400

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

301 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 598-8908

390 Birch St
Morgantown, WV 26506
Phone (304) 285-7200

6040 University Town Centre Dr
Morgantown, WV 26501

608 Cheat Rd
Morgantown, WV 26508
Phone (304) 594-1313

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

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

400 Fairview Heights Rd
Ste 204
Summersville, WV 26651
Phone (304) 872-8411

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

10 Medical Park
Ste 104
Wheeling, WV 26003
Phone (304) 242-4800

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1164696530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265061200",
            "telephone_number": "304-598-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021228",
            "country_code": "US",
            "telephone_number": "317-962-0500",
            "fax_number": "317-962-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CACCAMO",
        "first_name": "MARCO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "52173",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02004222A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "393",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS015872",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "WV",
            "license": "3193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01279017",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01238575",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201164930",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcaccamo107174@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcaccamo107174@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcaccamo107174@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.