Individual provider Active NPI

Eric Shane Hopkins, MD RVT FACS

  • Surgery Physician
  • Princeton, WV
National Provider Identifier
1649382227
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20329 Issued in WV
Practice address
201 12TH St Extension
Princeton, WV 24740-0201
Phone
(304) 425-1852
Fax
(304) 431-3756
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20329 WV Primary
Surgery Physician 208600000X 0101237879 VA
Vascular Surgery Physician 2086S0129X 20329 WV

Addresses

Primary practice location

201 12TH St Extension
Princeton, WV 24740-0201

Mailing address

118 12TH Street Ext
Princeton, WV 24740-2352
Phone (304) 431-5168

Other identifiers 2

IdentifierTypeStateIssuer
010005779MedicaidVA
2002286000MedicaidWV

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
I20040218001031 WV Practitioner - General Surgery 8628962651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
JC Edwards School of Medicine, Marshall University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Community Hospital Assn. Inc.Group PAC ID 3678482221, 174 clinicians

Practice addresses (Care Compare)

120 12TH St Ext
Princeton, WV 24740-2352
Phone (304) 487-8000

401 E Vermillion St
Athens, WV 24712-8005
Phone (304) 384-7325

Hospital & facility affiliations

  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy93
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux84
Melanoma (skin cancer) excision1-10
Removal of tissue13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101237879VAMDSurgery Physician
20329WVMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn., Inc CurrentSince Dec 11, 2016 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Dec 11, 2016 Accepting new patients
Princeton Community Hospital Assn., Inc. Past Accepting new patients
National Emergency Services West Virginia Inc Past Accepting new patients

Locations

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

118 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9568

201 12th Street Ext
Princeton, WV 24740
Phone (304) 425-1852

Interoperability endpoints

  • Direct secure messaging: ehopkins358221@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 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1649382227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-431-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 12TH ST EXTENSION",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247400201",
            "telephone_number": "304-425-1852",
            "fax_number": "304-431-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "ERIC",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD RVT FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "20329",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101237879",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WV",
            "license": "20329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010005779",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002286000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.