Kelly Pitsenbarger, MD
NPI 1023004744 · Family Medicine Physician · Shady Spring, WV
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Pitsenbarger, MD is a Family Medicine Physician provider in Shady Spring, WV (NPI 1023004744).
Provider details
- NPI number
- 1023004744
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- WV13927 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
636 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 381 | $114 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 100 | $81 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 57 | $160 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 53 | $79 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 18 | $114 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians and |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 204 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 583 | 128 |
| Pantoprazole Sodium | 450 | 119 |
| Metoprolol Succinate | 434 | 118 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 400 | 87 |
| Omeprazole | 355 | 110 |
| Gabapentin | 318 | 69 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-27
- Last updated
- 2024-10-23
- Certified
- 2024-10-23
Frequently asked questions
- What is Kelly Pitsenbarger's NPI number?
- Kelly Pitsenbarger's National Provider Identifier (NPI) is 1023004744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Pitsenbarger's specialty?
- Kelly Pitsenbarger is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Pitsenbarger located?
- Kelly Pitsenbarger's practice location on file with NPPES is 126 Carpenter St, Shady Spring, WV 25918-8417.
- What is Kelly Pitsenbarger's phone number?
- The practice phone number listed in the NPPES registry for Kelly Pitsenbarger is (304) 255-2426.
- Does Kelly Pitsenbarger accept Medicare?
- Kelly Pitsenbarger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Pitsenbarger's NPI active?
- Yes — Kelly Pitsenbarger's NPI (1023004744) is active in the NPPES registry as of the last update on 2024-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.