Individual provider Active NPI

Timothy P Metzger, DO

  • Family Medicine Physician
  • Ripley, WV
National Provider Identifier
1457450397
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2083 Issued in WV
Practice address
512A Church St S
Ripley, WV 25271-1616
Phone
(304) 372-1033
Fax
(304) 373-0223
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 2083 WV Primary

Addresses

Primary practice location

512A Church St S
Ripley, WV 25271-1616

Mailing address

PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301

Other practice location 1

200 Hospital Drive
Spencer, WV 25276-1050
Phone (304) 927-6822

Other identifiers 4

IdentifierTypeStateIssuer
007593451OtherWVAETNA
001721672OtherWVBCBS
550737600OtherWV25550
3810001232MedicaidWV

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
I20041109001070 WV Practitioner - Family Practice 2365405438 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association Inc CurrentSince Apr 29, 2018 Accepting new patients
Wirt County Health Services Association Inc Family Medicine CurrentSince Apr 29, 2018 Accepting new patients
Point Pleasant Physician Billing Services PastSince Sep 1, 1997 Accepting new patients
Ohio Valley Physicians Inc Family Medicine Past Accepting new patients

Locations

483 Court St
Elizabeth, WV 26143
Phone (304) 275-3301

512A Church St S
Ripley, WV 25271
Phone (304) 372-1033

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1457450397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512A CHURCH ST S",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711616",
            "telephone_number": "304-372-1033",
            "fax_number": "304-373-0223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "WV",
            "postal_code": "252761050",
            "country_code": "US",
            "telephone_number": "304-927-6822",
            "fax_number": "304-927-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METZGER",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "007593451",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001721672",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "25550",
            "identifier": "550737600",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001232",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.