Kevin R Garneau, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

328 Issued in MT

Practice address

2500 Hosptial Drive
Martinsburg, WV 25401

Phone

(304) 264-1000

Fax

(304) 264-1374

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

95.34 of 100Reported as apm

Quality

79.86

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• City Hospital Inc

  • Anesthesiology Physician
  • Martinsburg, WV
  • NPI 1942503164
  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044

  WV

  Medicare reassignment NPD
• Smoky Mountain Emergency Services, Inc.

  • Internal Medicine Physician
  • Daniels, WV
  • NPI 1275551731
  Medicare reassignment
• City Hospital, Inc.

  • Internal Medicine Physician
  • Ranson, WV
  • NPI 1336657493
  NPD
• Salutis Emergency Specialist, PLLC

  • Emergency Medicine Physician
  • Martinsburg, WV
  • NPI 1952477069
  NPD (past)
• Brevard Emergency Services

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1104870393
  NPD (past)
• Tidewater Emergency Medical Care

  • Physician Assistant
  • Chesapeake, VA
  • NPI 1295366201
  NPD (past)
• Tidewater Emergency Medical Care, LTD.

  • Emergency Medicine Physician
  • Chesapeake, VA
  • NPI 1710991153
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306890884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021150",
            "telephone_number": "304-264-1000",
            "fax_number": "304-264-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPTIAL DRIVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-264-1000",
            "fax_number": "304-264-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNEAU",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4300031",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MT PROVIDER LICE",
            "identifier": "328",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4305539",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "945323",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Garcia-Banos
• Chelsea Garcia
• Bonnie Gardiner
• Jenine Gardner, RN
• Mark A Gardner, DPM
• Frederick Kirby Garrett, TRANSPORTATION
• Garrison V. Morin Dba Mountain State ENT Center
• Keshia Lyn Gaskins, PTA
• Gastroenterology Associates of the Shenandoah Valley, Inc
• Ellen Gavin, PT, DPT

• Medical Physician Assistant in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Medical Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.