Individual provider Active NPI

Shane Prettyman, MD

  • Obstetrics & Gynecology Physician
  • Morgantown, WV
National Provider Identifier
1861695421
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
24519 Issued in WV
Practice address
2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505
Phone
(304) 599-6811
Fax
(304) 599-7159
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 24519 WV Primary

Addresses

Primary practice location

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505

Mailing address

2000 Mon Health Medical Park Dr Ste 2100
Morgantown, WV 26505-1134
Phone (304) 599-6811

Other practice location 1

1703 Locust Ave
Fairmont, WV 26554-1320
Phone (304) 366-6100

Other practice location 2

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-0030

Other practice location 3

66 Hospital Plz Ste 103
Weston, WV 26452-8595
Phone (304) 269-3108

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000246 WV Practitioner - Obstetrics/Gynecology 1850562646 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monongalia County General Hospital CompanyGroup PAC ID 9638073380, 241 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monongalia County General Hospital Company CurrentSince Dec 1, 2018 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jul 4, 2023 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Jan 3, 2026 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince Jul 4, 2023 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Jan 3, 2026 Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Locations

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

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

1249 Suncrest Town Centre Dr
Morgantown, WV 26505
Phone (304) 599-6353

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

2000 Mon Health Medical Park Dr
Ste 2100
Morgantown, WV 26505
Phone (304) 599-6811

66 Hospital Plz
Ste 103
Weston, WV 26452
Phone (304) 269-3108

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mon Health Medical CenterMorgantown, WV, CCN 510024 Hospital Corporate Officer Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 2

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1861695421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051134",
            "telephone_number": "304-599-6811",
            "fax_number": "304-599-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MON HEALTH MEDICAL PARK DR STE 2100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "26505",
            "telephone_number": "304-599-6811",
            "fax_number": "304-599-7159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265541320",
            "country_code": "US",
            "telephone_number": "304-366-6100",
            "fax_number": "304-366-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-0030",
            "fax_number": "304-269-0034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Hospital Plz Ste 103",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528595",
            "country_code": "US",
            "telephone_number": "304-269-3108",
            "fax_number": "304-269-3109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRETTYMAN",
        "first_name": "SHANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "24519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.