Individual provider Active NPI

Geoffrey R Cousins, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Huntington, WV
National Provider Identifier
1750379376
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
WV21957 Issued in WV
Practice address
2828 1St Ave
Suite 200
Huntington, WV 25702-1236
Phone
(304) 399-7530
Fax
(304) 399-7532
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X WV21957 WV Primary

Addresses

Primary practice location

2828 1St Ave
Suite 200
Huntington, WV 25702-1236

Mailing address

PO Box 88
200 Pocahontas Trail
White Sulphur Springs, WV 24986-0088
Phone (304) 536-5030

Other identifiers 3

IdentifierTypeStateIssuer
3810003749MedicaidWV
2927622MedicaidOH
001766919OtherWVBCBS

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address gcousins961@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gcousins961@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gcousins961@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address gcousins961@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240110000162 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Thoracic Surgery 8820026289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Michigan Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

400 Matthew St
Marietta, OH 45750-1656

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.41 of 100Reported as group
Quality
64.26
Promoting interoperability
100
Improvement activities
20
Cost
76.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WV21957WVMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Dec 15, 2023 Accepting new patients
Marietta Memorial Hospital CurrentSince Dec 15, 2023 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients
Nestor F Dans MD PLLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
St. Mary'S Medical Management Highlawn Lab Past Accepting new patients

Locations

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

400 Matthew St
Ste 302
Marietta, OH 45750
Phone (740) 568-5207

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

Interoperability endpoints

  • Direct secure messaging: geoffrey.cousins@mmhs.medicity.net

Organizations & group practices 6

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 4

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1750379376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "address_2": "200 POCAHONTAS TRAIL",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860088",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-399-7530",
            "fax_number": "304-399-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUSINS",
        "first_name": "GEOFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WV",
            "license": "WV21957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003749",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2927622",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001766919",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcousins961@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Garfield Ave Ste 460",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcousins961@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Garfield Ave Ste 460",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcousins961@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Garfield Ave Ste 460",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gcousins961@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "705 Garfield Ave",
            "city": "Parkersburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261015444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.