NPIMap

Individual provider Active NPI

Mary Conor Gainer, MD

  • Family Medicine Physician
  • Newburg, WV
National Provider Identifier
1932307063
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24207 Issued in WV
Practice address
1321 N Mountaineer Hwy
Newburg, WV 26410-8994
Phone
(304) 892-2812
Fax
(304) 892-2814
NPI assigned
Jul 10, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24207 WV Primary

Addresses

Primary practice location

1321 N Mountaineer Hwy
Newburg, WV 26410-8994

Mailing address

25 W Bluemont St
Grafton, WV 26354-1242
Phone (304) 265-0312

Other practice location 1

83 Poplar St
Rowlesburg, WV 26425-1124
Phone (304) 454-2421

Other identifiers 1

IdentifierTypeStateIssuer
3810018609MedicaidWV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000713 WV Practitioner - Family Practice 8527251990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

216 Lincoln St
Grafton, WV 26354-1442
Phone (304) 265-1851

25 W Bluemont St
Grafton, WV 26354-1242

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preston-Taylor Community Health Centers Incorporated CurrentSince Sep 13, 2010 Accepting new patients
Preston Taylor Community Health Centers, Incorporated Current Accepting new patients
Preston Taylor Community Health Centers, Incorporated Current Accepting new patients
Preston Taylor Community Health Centers, Incorporated CurrentSince Sep 13, 2010 Accepting new patients
Preston Taylor Community Health Centers, Incorporated Current Accepting new patients
Preston Taylor Community Health Centers, Incorporated Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

25 W Bluemont St
Grafton, WV 26354
Phone (304) 265-0312

725 N Pike St
Grafton, WV 26354
Phone (304) 265-4909

1321 N Mountaineer Hwy
Newburg, WV 26410
Phone (304) 892-2812

2060 N Mountaineer Hwy
Newburg, WV 26410
Phone (304) 892-2812

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1932307063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W BLUEMONT ST",
            "city": "GRAFTON",
            "state": "WV",
            "postal_code": "263541242",
            "telephone_number": "304-265-0312",
            "fax_number": "304-265-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N MOUNTAINEER HWY",
            "city": "NEWBURG",
            "state": "WV",
            "postal_code": "264108994",
            "telephone_number": "304-892-2812",
            "fax_number": "304-892-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Rowlesburg",
            "state": "WV",
            "postal_code": "264251124",
            "country_code": "US",
            "telephone_number": "304-454-2421",
            "fax_number": "304-454-9690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAINER",
        "first_name": "MARY",
        "middle_name": "CONOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "24207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018609",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburg, WV

Sources for this page

Verify at the official NPI Registry.