Individual provider Active NPI

Jeffrey C. Dameron, M.D.

  • Diagnostic Radiology Physician
  • Charleston, WV
National Provider Identifier
1699779207
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19130 Issued in WV
Practice address
1538 Kanawha Blvd E
Charleston, WV 25311-2435
Phone
(304) 344-5018
Fax
(304) 344-3480
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 19130 WV Primary

Addresses

Primary practice location

1538 Kanawha Blvd E
Charleston, WV 25311-2435

Mailing address

PO Box 11137
Charleston, WV 25339-1137
Phone (304) 344-3457

Other identifiers 13

IdentifierTypeStateIssuer
G87757OtherWVBRICKSTREET INSURANCE
0048356000MedicaidWV
020011800OtherWVFEDERAL BLACK LUNG
64028608MedicaidKY
151237200OtherWVUS DOL & US POSTAL COMP
2138387MedicaidOH
550516458OtherWVACORDIA NATIONAL PEIA
0130753OtherWVUMWA
14175MedicaidWV
55-0516458OtherWVGROUP FEIN #
550516458MedicaidWV
001718806OtherWVFREEDOM BLUE & MS BCBS
14193OtherWVCARELINK & CARELINK PEIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040511000781 WV Practitioner - Diagnostic Radiology 7315936663 Reassigns benefits to 15 organizations
I20260112003745 TN Practitioner - Diagnostic Radiology 7315936663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

161 Cam Dr
Scott Depot, WV 25560-9137
Phone (615) 312-0600

1624 Loudon Heights Rd
Charleston, WV 25314-1504
Phone (615) 312-0600

2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 264-1000

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Pikeville Medical Center Hospital, Pikeville, KY, CCN 180044
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008
  • Meadowview Regional Medical Center Hospital, Maysville, KY, CCN 180019

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

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
Radiology Alliance PC Diagnostic Radiology CurrentSince Oct 13, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Dec 18, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
Pikeville Medical Center, Inc. CurrentSince Dec 18, 2024 Accepting new patients
Community Health Systems Inc CurrentSince Dec 1, 2024 Accepting new patients
Associated Radiologists, Inc. Diagnostic Radiology CurrentSince Apr 2, 2001 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
West Virginia University Medical Corporation Diagnostic Radiology CurrentSince Jun 27, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Community Health Systems, Inc. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Clarksville Imaging Center LLC Diagnostic Radiology CurrentSince Jan 26, 2026 Accepting new patients
THS Physician Partners Inc CurrentSince Aug 16, 2024 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Dec 16, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Aug 2, 2025 Accepting new patients
Montgomery General Hospital, Inc CurrentSince Dec 16, 2024 Accepting new patients
Community Health Association CurrentSince Apr 25, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 27, 2025 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince May 28, 2025 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Community Health Association Past Accepting new patients
Charleston Radiation Therapy Consultants PLLC Past Accepting new patients

Locations (25 of 41)

1937 Momentum Pl
Chicago, IL 60689

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

105 Prather Path
Ste 1200
Georgetown, KY 40324
Phone (502) 570-3785

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

238 Cassidy Blvd
Pikeville, KY 41501
Phone (606) 430-2230

911 Bypass Rd
Bldg D
Pikeville, KY 41501
Phone (606) 430-4673

723 S Lake Dr
Prestonsburg, KY 41653
Phone (606) 430-2225

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

L3539
Columbus, OH 43260
Phone (304) 414-4800

37984 Airport Rd
Woodsfield, OH 43793
Phone (304) 455-6291

107 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

1160 Forest Retreat Rd
Hendersonville, TN 37075
Phone (615) 338-2000

201 N Anderson Ln
Ste 100LAN
Hendersonvlle, TN 37075

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

500 Hospital Dr
Madison, TN 37115
Phone (615) 865-0300

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

28 White Bridge Pike
Ste 104
Nashville, TN 37205

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

Interoperability endpoints

  • Direct secure messaging: jeffrey.dameron.1@14333.direct.athenahealth.com
  • Direct secure messaging: jdameron432190@direct.wvuhsdirect.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1699779207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11137",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253391137",
            "telephone_number": "304-344-3457",
            "fax_number": "304-344-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112435",
            "telephone_number": "304-344-5018",
            "fax_number": "304-344-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMERON",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "19130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET INSURANCE",
            "identifier": "G87757",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048356000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "020011800",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64028608",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL & US POSTAL COMP",
            "identifier": "151237200",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138387",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACORDIA NATIONAL PEIA",
            "identifier": "550516458",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "0130753",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14175",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP FEIN #",
            "identifier": "55-0516458",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550516458",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM BLUE & MS BCBS",
            "identifier": "001718806",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK & CARELINK PEIA",
            "identifier": "14193",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, WV

Sources for this page

Verify at the official NPI Registry.