NPIMap

Individual provider Active NPI

Kenneth G Judson Jr., DO

  • Clinical Cardiac Electrophysiology Physician
  • Morgantown, WV
National Provider Identifier
1770525891
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
2110 Issued in WV
Practice address
2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168
Phone
(304) 599-8802
Fax
(304) 599-5607
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS010445L PA
Clinical Cardiac Electrophysiology Physician 207RC0001X OS010445L PA
Clinical Cardiac Electrophysiology Physician 207RC0001X 2110 WV Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168

Mailing address

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1168
Phone (304) 599-8802

Other practice location 1

12502 Willowbrook Rd
Suite 400
Cumberland, MD 21502-6491
Phone (240) 964-8740

Other practice location 2

1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone (304) 363-6210

Other practice location 3

2501 Deep Creek Dr Ste 200
Mc Henry, MD 21541-1713
Phone (304) 636-5006

Other practice location 4

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1996

Other practice location 5

501 Railroad Ave
Elkins, WV 26241-3885
Phone (304) 636-5006

Other identifiers 3

IdentifierTypeStateIssuer
2670622MedicaidOH
2670622MedicaidWV
0018530940003MedicaidPA

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address judsonk@direct.monhealthsys.org Health Information Exchange (HIE)
Direct Messaging Address judsonk@direct.monhealthsys.org Health Information Exchange (HIE)
Direct Messaging Address judsonk@direct.monhealthsys.org Health Information Exchange (HIE)
Direct Messaging Address judsonk@direct.monhealthsys.org Health Information Exchange (HIE)
Direct Messaging Address judsonk@direct.monhealthsys.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA, MD3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050908000998 WV Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 2961434071 Reassigns benefits to 2 organizations
I20060718000017 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2961434071 Reassigns benefits to 1 organization
I20160204000563 MD Practitioner - Cardiac Electrophysiology 2961434071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monongalia County General Hospital CompanyGroup PAC ID 9638073380, shared by 5 NPIs, 241 clinicians
Stonewall Jackson Memorial Hospital CompanyGroup PAC ID 4284530551, 64 clinicians

Practice addresses (Care Compare)

1 Huntington Way
Suite 100
Fairmont, WV 26554-8819
Phone (304) 368-2422

2501 Deep Creek Dr
Suite 200
MC Henry, MD 21541-1713
Phone (304) 599-8802

66 Hospital PLZ
Suite 102
Weston, WV 26452-8595
Phone (304) 269-6004

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation Cardiovascular Disease Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Cardiovascular Disease CurrentSince Mar 1, 2018 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jan 5, 2016 Accepting new patients
Monongalia County General Hospital Company Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince May 4, 2024 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jan 5, 2016 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince May 4, 2024 Accepting new patients
Monongalia County General Hospital Company Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients
Upmc Western Maryland Health Services, LLC Cardiovascular Disease Past Accepting new patients
Family Medical Clinic of Jane Lew Past Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

12502 Willowbrook Rd
Ste 400
Cumberland, MD 21502
Phone (240) 964-8740

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

2501 Deep Creek Dr
Ste 200
Mc Henry, MD 21541
Phone (304) 599-8802

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

501 Railroad Ave
Elkins, WV 26241
Phone (304) 636-5006

213 Main St
Elkins, WV 26241
Phone (304) 636-5006

1 Huntington Way
Ste 100
Fairmont, WV 26554
Phone (304) 363-6210

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

2000 Mon Health Medical Park Dr
Ste 2300
Morgantown, WV 26505
Phone (304) 599-8802

300 Wedgewood Dr
Morgantown, WV 26505
Phone (304) 599-8802

66 Hospital Plz
Ste 102
Weston, WV 26452
Phone (304) 269-4252

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

Interoperability endpoints

  • Direct secure messaging: judsonk@direct.monhealthsys.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 9

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.

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    "enumeration_type": "NPI-1",
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    "number": "1770525891",
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            "fax_number": "304-285-2107",
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        {
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        }
    ],
    "basic": {
        "last_name": "JUDSON",
        "first_name": "KENNETH",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
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            "license": "OS010445L",
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        },
        {
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            "taxonomy_group": "",
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        },
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    "identifiers": [
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670622",
            "state": "OH"
        },
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "0018530940003",
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        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "judsonk@direct.monhealthsys.org",
            "affiliation": "N",
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            "use": "HIE",
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        {
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        {
            "endpointType": "DIRECT",
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        {
            "endpointType": "DIRECT",
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            "use": "HIE",
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            "contentTypeDescription": "CSV",
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            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.