James Robert Toothman, DO - Medicare Internal Medicine in Hurricane, WV

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James Robert Toothman, DO is a medicare enrolled "Internal Medicine" physician in Hurricane, West Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 1993 and has 33 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice James R Toothman Do Pllc, James R Toothman Do Pllc and his current practice location is 13 Edgewood Dr, Hurricane, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 539-5557.

James Robert Toothman is licensed to practice in West Virginia (license number 1441) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992758411.

Contact Information

James Robert Toothman, DO
13 Edgewood Dr,
Hurricane, WV 25526-9218
(304) 539-5557
(304) 757-5557

Map and Direction




Physician's Profile

Full NameJames Robert Toothman
GenderMale
SpecialityInternal Medicine
Experience33 Years
Location13 Edgewood Dr, Hurricane, West Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Robert Toothman attended and graduated from West Virginia School Of Osteopathic Medicine in 1993
  NPI Data:
  • NPI Number: 1992758411
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 11/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678479342
  • Enrollment ID: I20060522000038

Medical Identifiers

Medical identifiers for James Robert Toothman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992758411NPI-NPPES
110135471OtherWVRAILROAD MEDICARE
2047636MedicaidOH
000712231OtherWVBCBS INDIVIDUAL
0045606000MedicaidWV
023206600OtherWVFEDERAL BLACK LUNG
550737998OtherWVWV WORKERS COMP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 1441 (West Virginia)Primary
146D00000XPersonal Emergency Response Attendant 1441 (West Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of West VirginiaCharleston, WVHome health agency
Amedisys Home Health Of West VirginiaVienna, WVHome health agency
Chs Hospice & Palliative Care Services LlcMc connelsville, OHHospice
Hospicecare, IncCharleston, WVHospice
Amedisys Hospice Of ViennaVienna, WVHospice
National Church Residences Home And Community ServWaverly, OHHospice
Hospice Of HuntingtonHuntington, WVHospice
Charleston Area Medical CenterCharleston, WVHospital
Pleasant Valley HospitalPoint pleasant, WVHospital
Marietta Memorial HospitalMarietta, OHHospital
St Mary's Medical CenterHuntington, WVHospital
Camden Clark Medical CenterParkersburg, WVHospital
Heritage CenterHuntington, WVNursing home
Dunbar CenterDunbar, WVNursing home
Logan CenterLogan, WVNursing home
Willows CenterParkersburg, WVNursing home
Arbors At GallipolisGallipolis, OHNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
James R Toothman Do Pllc07495155753
James R Toothman Do Pllc07495155753

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Robert Toothman allows following entities to bill medicare on his behalf.
Entity NamePoint Pleasant Physician Billing Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798898
PECOS PAC ID: 3375538184
Enrollment ID: O20040419001796
Entity NameJames R Toothman Do Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528627957
PECOS PAC ID: 0749515575
Enrollment ID: O20190716001209
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20200402000312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Robert Toothman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Robert Toothman, DO
13 Edgewood Dr,
Hurricane, WV 25526-9218

Ph: (304) 539-5557		James Robert Toothman, DO
13 Edgewood Dr,
Hurricane, WV 25526-9218

Ph: (304) 539-5557

Reviews and Comments


Internal Medicine Doctors in Hurricane, WV

Dr. M Yaser Haffar, MD
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Phone: 304-757-4694    Fax: 304-757-4695
Dr. Joseph Devono Iii, DO
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Ricky L. Houdersheldt, MD
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Emery Brad Mccoy, D.O., PLLC
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Ulas Darda Bayraktar, MD
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Phone: 304-388-4949    Fax: 304-757-7566
Dr. John Mirrell Clark, MD
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Christopher Edward Bowman, MD
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Practice Location: 3752 Teays Valley Rd, Hurricane, WV 25526
Phone: 304-757-3131    Fax: 304-760-6173

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.