Individual provider Active NPI

Trent Glen Mason, MD

  • Specialist
  • Moundsville, WV
National Provider Identifier
1477548212
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20434 Issued in WV
Practice address
1001 3Rd St
Moundsville, WV 26041-1606
Phone
(304) 845-3464
Fax
(304) 845-2208
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
Yes

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
Specialist 174400000X 20434 WV Primary

Addresses

Primary practice location

1001 3Rd St
Moundsville, WV 26041-1606

Mailing address

1924 Green HLS
Glen Dale, WV 26038-1132
Phone (304) 845-3464

Other identifiers 1

IdentifierTypeStateIssuer
1000178000MedicaidWV

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tmason7782@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tmason7782@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address tmason7782@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: 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
I20120306000838 WV Practitioner - Family Practice 9830358167 Reassigns benefits to 1 organization
Practice locations: Glen Dale, WV

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

426 8TH St
Glen Dale, WV 26038-1451

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc CurrentSince Feb 1, 2019 Accepting new patients
Marshall County Health Department Past Accepting new patients
Marshall County Health Department Past Accepting new patients
Med Health Services Management, LP Specialist Past Accepting new patients

Locations

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

426 8th St
Ste 200
Glen Dale, WV 26038
Phone (304) 843-3208

Interoperability endpoints

  • Direct secure messaging: tmason7782@direct.wvuhsdirect.com

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 5

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1477548212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 GREEN HLS",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381132",
            "telephone_number": "304-845-3464",
            "fax_number": "304-845-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 3RD ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411606",
            "telephone_number": "304-845-3464",
            "fax_number": "304-845-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TRENT",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "20434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000178000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmason7782@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "426 8th St Ste 200",
            "city": "Glen Dale",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260381451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmason7782@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "426 8th St Ste 200",
            "city": "Glen Dale",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260381451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmason7782@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "426 8th St",
            "city": "Glen Dale",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260381451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

Verify at the official NPI Registry.