NPIMap

Individual provider Active NPI

Robert Todd Depond, MD

  • Gynecology Physician
  • Charleston, WV
National Provider Identifier
1205804374
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
16935 Issued in WV
Practice address
830 Pennsylvania Ave
Suite 304
Charleston, WV 25302-3302
Phone
(304) 388-1552
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 16935 WV Primary

Addresses

Primary practice location

830 Pennsylvania Ave
Suite 304
Charleston, WV 25302-3302

Mailing address

830 Pennsylvania Ave
Suite 304
Charleston, WV 25302-3302
Phone (304) 388-1552

Other identifiers 1

IdentifierTypeStateIssuer
0092833000MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rdepond16737@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address rdepond16737@direct.wvuhsdirect.com Health Information Exchange (HIE)

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
I20040611000695 WV Practitioner - Obstetrics/Gynecology 2365425147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

4607 Maccorkle Ave SW
Suite 301
South Charleston, WV 25309-1364
Phone (304) 767-7919

830 Pennsylvania Ave
Suite 304
Charleston, WV 25302-3390
Phone (304) 388-1515

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16935WVMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
THS Physician Partners Inc CurrentSince Nov 25, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 18, 2022 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 18, 2022 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Wvupc-Camc Wound Care Center Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

830 Pennsylvania Ave
Ste 402
Charleston, WV 25302
Phone (304) 343-4177

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

3200 Maccorkle Ave SE
#C
Charleston, WV 25304
Phone (304) 347-1336

400 Court St
Ste 100
Charleston, WV 25301
Phone (304) 345-4525

830 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 343-5735

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

830 Pennsylvania Ave
Ste 304
Charleston, WV 25302
Phone (304) 388-1515

4607 Maccorkle Ave SW
Ste 301
South Charleston, WV 25309
Phone (304) 767-7919

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Interoperability endpoints

  • Direct secure messaging: rdepond16737@direct.wvuhsdirect.com

Organizations & group practices 7

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 12

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1205804374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE",
            "address_2": "SUITE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023302",
            "telephone_number": "304-388-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE",
            "address_2": "SUITE 304",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023302",
            "telephone_number": "304-388-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPOND",
        "first_name": "ROBERT",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WV",
            "license": "16935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092833000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdepond16737@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "830 Pennsylvania Ave Ste 304",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253023390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdepond16737@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "830 Pennsylvania Ave",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253023302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.