Rachel Toothman
NPI 1093495772 · Nurse Practitioner · Morgantown, WV
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rachel Toothman is a Nurse Practitioner provider in Morgantown, WV (NPI 1093495772).
Provider details
- NPI number
- 1093495772
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 116030 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
183 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 74 | $81 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $112 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 28 | $115 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 27 | $116 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $55 |
Typical Medicare-allowed amounts for these services range $55–$116 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-19
- Last updated
- 2023-07-19
- Certified
- 2023-07-19
Frequently asked questions
- What is Rachel Toothman's NPI number?
- Rachel Toothman's National Provider Identifier (NPI) is 1093495772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rachel Toothman's specialty?
- Rachel Toothman is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rachel Toothman located?
- Rachel Toothman's practice location on file with NPPES is 1 Medical Center Dr, Morgantown, WV 26506-1200.
- What is Rachel Toothman's phone number?
- The practice phone number listed in the NPPES registry for Rachel Toothman is (304) 598-4000.
- Does Rachel Toothman accept Medicare?
- Rachel Toothman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rachel Toothman's NPI active?
- Yes — Rachel Toothman's NPI (1093495772) is active in the NPPES registry as of the last update on 2023-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.