Michael R Gregory, DO
Individual provider Active NPI Emergency Medicine Physician · Jane Lew, WV
NPI 1689656175 · NPPES record last updated Mar 4, 2008
Key facts
- NPI
- 1689656175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 1554 (WV)
- Practice address
- 533 Hackers Creek Road
Jane Lew, WV 26378-8394 - Phone
- (304) 884-8941
- Fax
- (304) 884-8943
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- West Virginia School of Osteopathic Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Stonewall Jackson Memorial Hospital Company
Practice addresses (Care Compare)
230 Hospital PLZ
Weston, WV 26452-8558
Phone (304) 269-8000
Hospital & facility affiliations
- Stonewall Jackson Memorial Hospital Company
- Mon Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816000826 | WV | Practitioner - Emergency Medicine |
3779533963 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonewall Jackson Memorial Hospital Company | Current |
Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current |
Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
533 Hackers Creek Rd
Jane Lew, WV 26378
Phone (304) 884-8941
230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1554 | WV | Yes |
| Family Medicine Physician | 207Q00000X | 1554 | WV |
Addresses
Primary practice location
533 Hackers Creek Road
Jane Lew, WV 26378-8394
Mailing address
230 Hospital Plaza
Weston, WV 26452
Phone (304) 269-8000
Other providers in Jane Lew, WV
- Family Medical Clinic of Jane Lew (Epsdt)
- Family Medical Clinic of Jane Lew (Lab)
- Lora J Fitzgerald
- Danyell Lee Fox
- Kayli Gallen
- Elizabeth Griffin
- Gretchen Griffin
- Abbey Lynne Griffith
- Sharon Ann Harper
- Jennifer Deloris Harvey
All providers in Jane Lew, WV · Emergency Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.