John P Lubicky, MD – Orthopaedic Surgery Physician

Key facts

NPI: 1760434161
Entity type: Individual (NPI type 1)
Primary specialty: Orthopaedic Surgery Physician 207X00000X
License: 01061459A (IN)
Practice address: 1 Stadium Dr
Morgantown, WV 26506
Phone: (304) 293-1312
Fax: (304) 293-7042
NPI assigned: May 16, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 7

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.

West Virginia University Medical Corporation Family Medicine Physician · Morgantown, WV · NPI 1275504508

Medicare reassignment NPD ORTHOPAEDIC SURGERY · WV
Health and Education Building Student Health Clinic/Center · Morgantown, WV · NPI 1174803027

NPD
West Virginia University Medical Corporation Community/Behavioral Health Agency · Martinsburg, WV · NPI 1174233530

NPD
West Virginia University Hospitals, Inc General Acute Care Hospital · Morgantown, WV · NPI 1841271459

NPD (past)
Gibson Community Hospital Association Critical Access Hospital · Gibson City, IL · NPI 1114935681

NPD (past)
Major Hospital General Acute Care Hospital · Shelbyville, IN · NPI 1174555692

NPD (past)
University Orthopaedic Associates, Inc. Orthopaedic Surgery Physician · Indianapolis, IN · NPI 1841241437

NPD (past) ORTHOPAEDIC SURGERY

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score: 95.34 of 100 (apm)
Quality: 79.86
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
I20100201000127	WV	Practitioner - Orthopedic Surgery	0840251872	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
01061459A	IN	MD	Orthopaedic Surgery Physician

Practice roles

Organization	Specialty	Status	New patients
West Virginia University Medical Corporation	Orthopaedic Surgery	Current	Accepting new patients
West Virginia University Medical Corporation		Current since Jan 5, 2010	Accepting new patients
Health and Education Building		Current since Jan 5, 2010	Accepting new patients
Major Hospital		Past	Accepting new patients
University Orthopaedic Associates, Inc.	Orthopaedic Surgery	Past	Accepting new patients
Gibson Community Hospital Association		Past	Accepting new patients
West Virginia University Hospitals, Inc		Past	Accepting new patients

Locations

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopaedic Surgery Physician	207X00000X	01061459A	IN	Yes

Addresses

Primary practice location

1 Stadium Dr
Morgantown, WV 26506

Mailing address

1 Medical Center Drive
PO Box 9196
Morgantown, WV 26506-9196
Phone (304) 293-1312

Other identifiers

Identifier	Type	State	Issuer
200405370	Medicaid	IN
01061459A	Other	IN	LICENSE
01061459B	Other	IN	CSR

Electronic endpoints

Type	Endpoint	Use
Direct Messaging Address	jlubicky1007@direct.wvuhsdirect.com	Health Information Exchange (HIE)
Direct Messaging Address	jlubicky1007@direct.wvuhsdirect.com	Health Information Exchange (HIE)
Direct Messaging Address	jlubicky1007@direct.wvuhsdirect.com	Health Information Exchange (HIE)
Direct Messaging Address	jlubicky1007@direct.wvuhsdirect.com	Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760434161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "address_2": "PO BOX 9196",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069196",
            "telephone_number": "304-293-1312",
            "fax_number": "304-293-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26506",
            "telephone_number": "304-293-1312",
            "fax_number": "304-293-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBICKY",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01061459A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200405370",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "01061459A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01061459B",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlubicky1007@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlubicky1007@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
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            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlubicky1007@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlubicky1007@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

All providers in Morgantown, WV · Orthopaedic Surgery 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 7, 2023. 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.

Verify at the official NPI Registry.