NPIMap

Individual provider Active NPI

Matthew Cupp, MD

  • Family Medicine Physician
  • Elkins, WV
National Provider Identifier
1457442709
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18353 Issued in WV
Practice address
88 Stone Mountain LN
Elkins, WV 26241-9000
Phone
(304) 637-5800
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18353 WV Primary

Addresses

Primary practice location

88 Stone Mountain LN
Elkins, WV 26241-9000

Mailing address

88 Stone Mountain LN
Elkins, WV 26241-9000
Phone (304) 637-5800

Other identifiers 1

IdentifierTypeStateIssuer
0046614000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mattcupp@direct.practicefusion.com Direct

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
I20090203000138 WV Practitioner - Family Practice 2062576218 Practice locations: Elkins, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 Stone Mountain LN
Elkins, WV 26241-9000
Phone (304) 637-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18353WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
499 Ferguson Road Opco LLC Past Accepting new patients
Elkins Regional Convalescent Center Past Accepting new patients
200 Whitman Avenue Opco LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Adoration HospiceBuckhannon, WV, CCN 511516 Hospice W-2 Managing Employee Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 7

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1457442709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 STONE MOUNTAIN LN",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419000",
            "telephone_number": "304-637-5800",
            "fax_number": "888-383-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 STONE MOUNTAIN LN",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419000",
            "telephone_number": "304-637-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "18353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046614000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mattcupp@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "88 STONE MOUNTAIN LN",
            "city": "ELKINS",
            "state": "WV",
            "country_code": "US",
            "postal_code": "262419000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.