Active NPI
Shane Prettyman, MD
- Obstetrics & Gynecology Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 24519
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Company
Practice addresses (Care Compare)
1 Huntington Way
Suite 100
Fairmont, WV 26554-8819
Phone (304) 368-2422
Hospital & facility affiliations
- Mon Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monongalia County General Hospital Company | Current | Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current | Accepting new patients | |
| Preston Memorial Hospital Corporation | Current | Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current | Accepting new patients | |
| Preston Memorial Hospital Corporation | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Mon Health Medical Center | 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.
-
- Specialist
- Morgantown, WV
- NPI 1447673223
Corporate Officer
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
Corporate Officer
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.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
-
- Emergency Medicine Physician
- Morgantown, WV
- NPI 1477890440
-
- Clinic/Center
- MC Henry, MD
- NPI 1538592043
-
- Gynecology Physician
- Hopwood, PA
- NPI 1811391972
-
- Orthopaedic Surgery Physician
- Weston, WV
- NPI 1922392851
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.