Active NPI
Jacob Meisenburg, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Ripley, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 10501
- Practice address
- 122 Pinnell St
Ripley, WV 25271-9101 - Phone
- (304) 372-2731
- Fax
- (304) 372-2749
- NPI assigned
- May 30, 2016
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 10501 | NY | Primary |
Addresses
Primary practice location
122 Pinnell St
Ripley, WV 25271-9101
Mailing address
122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10501 | Other | WV | WEST VIRGINIA BOARD OF MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western University of Health Sciences College of Dental Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 Pinnell St
Ripley, WV 25271-9101
Phone (304) 372-2731
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10501 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association | Current | Accepting new patients | |
| Logan General Hospital LLC | Current | Accepting new patients | |
| Appalachia Pathology Consultants LLC | Current | Accepting new patients | |
| Community Health Association | Current | Accepting new patients | |
| Community Health Association | Past | Accepting new patients |
Locations
79 Hospital Dr
Logan, WV 25601
Phone (304) 831-1594
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
174 Pinnell St
Ste C
Ripley, WV 25271
Phone (304) 372-1740
122 Pinnell St
Ripley, WV 25271
Phone (304) 373-1544
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- Podiatrist
- Logan, WV
- NPI 1720032105
-
- Anatomic Pathology & Clinical Pathology Physician
- Logan, WV
- NPI 1689037780
-
- Medicare Defined Swing Bed Hospital Unit
- Ripley, WV
- NPI 1083805790
-
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1124369780
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1851749949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 PINNELL ST",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252719101",
"telephone_number": "304-372-2731",
"fax_number": "304-372-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 PINNELL ST",
"city": "RIPLEY",
"state": "WV",
"postal_code": "252719101",
"telephone_number": "304-372-2731",
"fax_number": "304-372-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISENBURG",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-30",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NY",
"license": "10501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF MEDICINE",
"identifier": "10501",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ripley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.