Individual provider Active NPI

Gerald Wedemeyer, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Bridgeport, WV
National Provider Identifier
1174571038
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
WV16760 Issued in WV
Practice address
327 Medical Park Drive
Bridgeport, WV 26330
Phone
(681) 342-1525
Fax
(681) 342-3125
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X WV16760 WV Primary

Addresses

Primary practice location

327 Medical Park Drive
Bridgeport, WV 26330

Mailing address

327 Medical Park Drive
Bridgeport, WV 26330
Phone (681) 342-1525

Other identifiers 1

IdentifierTypeStateIssuer
10232000OtherWVMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000037 WV Practitioner - Pathology 1759488612 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Iowa, RJ & L Carver College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Hospital Center IncGroup PAC ID 8123936010, 290 clinicians

Practice addresses (Care Compare)

1 Amalia Dr
Buckhannon, WV 26201-2239
Phone (304) 473-2000

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-3153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
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

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
WV16760WVMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Braxton County Memorial Hospital CurrentSince Sep 3, 2019 Accepting new patients
United Hospital Center, Inc. CurrentSince Nov 4, 1991 Accepting new patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
United Hospital Center Clinical Pathology/Laboratory Medicine CurrentSince Nov 4, 1991 Accepting new patients
St Josephs Hospital of Buckhannon Inc CurrentSince Mar 1, 2020 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jan 1, 1999 Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Sep 3, 2019 Accepting new patients
Braxton County Memorial Hospital CurrentSince Sep 3, 2019 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jan 1, 1999 Accepting new patients

Locations

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1 Amalia Dr
Buckhannon, WV 26201
Phone (304) 473-2000

3 Hospital Plz
Clarksburg, WV 26301
Phone (304) 621-2121

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

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

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Organizations & group practices 9

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 2

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1174571038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DRIVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "681-342-1525",
            "fax_number": "681-342-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DRIVE",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "26330",
            "telephone_number": "681-342-1525",
            "fax_number": "681-342-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDEMEYER",
        "first_name": "GERALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "WV",
            "license": "WV16760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "10232000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.