Jeffrey Blake Debord, D.O.
Individual provider Active NPI Internal Medicine Physician · Martinsburg, WV
NPI 1184705170 · NPPES record last updated Sep 25, 2009
Key facts
- NPI
- 1184705170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 1177 (WV)
- Practice address
- 65 Health Care LN
Martinsburg, WV 25401-4006 - Phone
- (304) 263-6997
- Fax
- (304) 263-8827
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- West Virginia School of Osteopathic Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City Hospital Inc
Practice addresses (Care Compare)
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443
Hospital & facility affiliations
- Berkeley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Berkeley Medical Center |
Hospital | Corporate Director | Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000062 | WV | Practitioner - Hospitalist |
3476440934 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Hospital, Inc. | Internal Medicine | Current |
Accepting new patients |
| City Hospital, Inc. | Internal Medicine | Current |
Accepting new patients |
| Hospitalist Medicine Physicians of West Virginia, PLLC | Internal Medicine | Current |
Accepting new patients |
| West Virginia University Medical Corporation | Internal Medicine | Current | Accepting new patients |
| City Hospital Inc | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of West Virginia- TCG PLLC | Internal Medicine | Current |
Accepting new patients |
| University Hematology and Oncology | Current |
Accepting new patients | |
| City Hospital, Inc. | Past |
Accepting new patients | |
| City Hospital, Inc | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
65 Health Care Ln
Martinsburg, WV 25401
Phone (304) 263-6997
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800
Interoperability endpoints
- https://apps.mywvuchart.com/fhirproxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 1177 | WV | Yes |
Addresses
Primary practice location
65 Health Care LN
Martinsburg, WV 25401-4006
Mailing address
65 Health Care LN
Martinsburg, WV 25401-4006
Phone (304) 263-6997
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0073644000 | Medicaid | WV |
Other providers in Martinsburg, WV
- Melodie Day
- Samantha Deamer
- Mackenzie Kincer Deane
- Deborah Maiorano
- Blake Howard Debord
- Carol L Decker
- Katelynn Decker
- Brittany Elyse Decorte
- Angela Deeds
- Deep Roots Healing, LLC
All providers in Martinsburg, WV · Internal Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.