Active NPI
Jeffrey C. Dameron, M.D.
- Diagnostic Radiology Physician
- Charleston, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 19130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G87757 | Other | WV | BRICKSTREET INSURANCE |
| 0048356000 | Medicaid | WV | |
| 020011800 | Other | WV | FEDERAL BLACK LUNG |
| 64028608 | Medicaid | KY | |
| 151237200 | Other | WV | US DOL & US POSTAL COMP |
| 2138387 | Medicaid | OH | |
| 550516458 | Other | WV | ACORDIA NATIONAL PEIA |
| 0130753 | Other | WV | UMWA |
| 14175 | Medicaid | WV | |
| 55-0516458 | Other | WV | GROUP FEIN # |
| 550516458 | Medicaid | WV | |
| 001718806 | Other | WV | FREEDOM BLUE & MS BCBS |
| 14193 | Other | WV | CARELINK & CARELINK PEIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Pikeville Medical Center
- Clark Regional Medical Center
- Berkeley Medical Center
- Meadowview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Pikeville Medical Center, Inc. | Current | Accepting new patients | |
| Community Health Systems Inc | Current | Accepting new patients | |
| Associated Radiologists, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| West Virginia University Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Health Systems, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clarksville Imaging Center LLC | Diagnostic Radiology | Current | Accepting new patients |
| THS Physician Partners Inc | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Adi Radiology PC | Diagnostic Radiology | Current | 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
- jeffrey.dameron.1@14333.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- South Charleston, WV
- NPI 1871866806
-
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Charleston, WV
- NPI 1649275728
-
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- Federally Qualified Health Center (FQHC)
- Beckley, WV
- NPI 1588738538
Diagnostic Radiology
-
- Critical Access Hospital
- Montgomery, WV
- NPI 1619913647
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
WV
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- General Acute Care Hospital
- South Charleston, WV
- NPI 1316925506
-
- General Acute Care Hospital
- Winchester, KY
- NPI 1811213994
-
- Rural Health Clinic/Center
- Maysville, KY
- NPI 1821135518
Hospital
-
- Rural Acute Care Hospital
- Maysville, KY
- NPI 1881785863
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.